| NPI | 1982565081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LIDALE JONES President 619-254-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |