| NPI | 1558424762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SAN PEDRO FAJARDO President 818-795-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 2896653) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |