| NPI | 1720677149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELDON HOWLETT Owner/President/Administrator 909-565-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |