| NPI | 1720589997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA FOREMAN Business Development 949-424-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 304700158) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 306005324) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |