| NPI | 1609249523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKSON CRUZ BAUTISTA Authorized Official 310-817-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-12-27 |