| NPI | 1497421655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEKENA OWENS Administrator 562-305-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |