| NPI | 1962753970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BLACK CEO 831-214-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 251S00000X | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 251G00000X Hospice Care, Community Based | |
| 251300000X Local Education Agency (LEA) | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 251X00000X | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |