| NPI | 1609012079 |
|---|---|
| Doing Business As | CPT HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | WANDA KIM TARDY Director 909-214-5909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN467742) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA RN467742) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |