| NPI | 1003142639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON WEAVER Recurtor 480-345-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL RN9218626) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AZ RN138025) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |