| NPI | 1407123326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN STUKOV President 650-218-7826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2021-04-19 |