| NPI | 1619255106 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | JEFF ALLEN HAMMOND Director 949-836-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-06-30 |