| NPI | 1497112288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUE RUDOLPH STANSBERRY Compliance Officer 661-396-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: CA pk5778) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |