| NPI | 1699033522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA AWUJO Administrator 310-713-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 515412) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: CA 515412) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2012-04-28 |