| Organization Name: | WILBUR A. PULIDO |
| NPI Number: | 1689822934 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILBUR A PULIDO (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2627 S Waterman Ave. Ste C San Bernardino |
| State: | CA US |
| Postal Code: | 924083738 |
| Phone Number: | 9096534323 |
| Fax Number: | 9096534323 |
| NPI Enumeration Date: | 08/28/2008 |
| NPI Last Update Date: | 08/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 550000237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |