| 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 | 2025-04-29 |