| NPI | 1811566441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD WASHINGTON Owner/President/Alt Admin 909-682-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |