| NPI | 1952124711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL GRANT Owner 949-872-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |