| NPI | 1104752658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN ANDRU BLESSINGTON Care Provider 480-395-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |