| NPI | 1982112686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANDA ANDERSON Development 661-472-4431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 157201493) |
| Additional Taxonomies | 251S00000X (Licence: CA 157202828) |
| 251S00000X (Licence: 157804881) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-03-27 |