| NPI | 1528444965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN GRIVAS Principle/Administrator 855-424-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: CA 108325) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |