| NPI | 1588362966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAE BEVERLY DOMINGO CEO 818-397-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 104100000X Social Worker |
| 163WH0200X Registered Nurse, Home Health | |
| 225100000X Physical Therapist | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-11-06 |