| NPI | 1598809634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JANET HAYWOOD Administrator 909-723-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CA 550000548) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-01-17 |