| NPI | 1699128934 |
|---|---|
| Doing Business As | HOME RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | JULIE NORRIS Managing Member 619-971-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 374603695) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |