| NPI | 1689828485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN BOSS Owner 209-483-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CA 0900096452) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |