| NPI | 1780122606 |
|---|---|
| Other Name | HERITAGE SUPPORTED LIVING |
| Entity Type | Organization |
| Authorized Contact | EVELYN WAMBUI NJUKI Director 510-990-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |