| NPI | 1912333790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN ESTUDILLO Administrator 909-625-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2018-07-23 |