| NPI | 1912372228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE KING Director 909-205-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2026-01-06 |