| NPI | 1508398595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISANDRA DEE CAMPOS NAZARIO Administrator/Owner 971-302-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OR 129966198) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |