| NPI | 1871364752 |
|---|---|
| Doing Business As | ANTELOPE VALLEY MHC-FULL SERVICE PARTNERSHIP |
| Entity Type | Organization |
| Authorized Contact | LISA H WONG Director 213-947-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |