| NPI | 1669259917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SIM Managing Agent 916-215-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-18 |