| NPI | 1790782696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES R. BALLESTEROS Oasis Data Encoder/Coordinator 909-920-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 240000856) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-12-06 |