| NPI | 1952185779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL COOPER Administrator 510-393-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-04-17 |