| NPI | 1568283117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETTA ADELE SAMANTHA ROTH Owner 909-918-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 251J00000X Nursing Care | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 364SH0200X Clinical Nurse Specialist, Home Health | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |