| NPI | 1407482128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECHIA MOORE Administrator 310-800-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |