| NPI | 1508578998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICO HAWKINS President 661-409-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 172A00000X Driver | |
| 174200000X | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 332U00000X Home Delivered Meals | |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |