| NPI | 1629769013 |
|---|---|
| Doing Business As | GALAXY HAVEN |
| Entity Type | Organization |
| Authorized Contact | KOFI ODURO Managing Member 949-732-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |