| NPI | 1740967751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON A HAGENS Owner 818-915-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |