| NPI | 1780942235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JANET HAYWOOD Administrator 951-545-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |