| NPI | 1750336525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON ALAN TANCUNGCO DE LEON Administrator 909-989-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 240000846) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-10-28 |