| NPI | 1588434849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE KELLY CEO 916-613-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251E00000X Home Health |
| 174200000X Meals | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |