| NPI | 1073722765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFAYE J HOUSE Bookkeeper 928-684-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372500000X Chore Provider (Licence: AZ L13325529) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: AZ l13325529) |
| 376J00000X Homemaker (Licence: AZ L13325529) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |