| NPI | 1083885628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS JOHNSON Owner 520-495-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AZ HHA5018) |
| 253Z00000X In Home Supportive Care (Licence: AZ HHA5018) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-08-07 |