| NPI | 1881410371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON RAY ALDERSON Owner/Operator 909-351-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |