| NPI | 1932715174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA RENEE HOLLEY President 562-500-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QC0050X Clinic/Center Critical Access Hospital | |
| 261QD0000X Clinic/Center Dental | |
| 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment | |
| 282NW0100X General Acute Care Hospital Women | |
| 332000000X Military/U.S. Coast Guard Pharmacy | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 286500000X Military Hospital | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-27 |