| NPI | 1891327573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT BRYAN VICENCIO REYES Administrator 650-922-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-12-27 |