| NPI | 1649506171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC HARBERT Director 661-860-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 207368) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: CA 207368) |
| 253Z00000X In Home Supportive Care (Licence: CA 207368) | |
| 385H00000X Respite Care (Licence: CA 207368) | |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2014-06-18 |