| NPI | 1124834312 |
|---|---|
| Doing Business As | MCP OF ARIZONA, LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA A RODRIGUEZ TORRES Fiscal Agent 909-699-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |