| NPI | 1497236541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA DAVIS Manager 619-606-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-06-17 |