| NPI | 1962196014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDA NAB Owner 510-677-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2025-01-16 |