| NPI | 1942550009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE E WHITEHEAD Owner/Administrator 323-778-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 201219510046) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |