| NPI | 1144332107 |
|---|---|
| Doing Business As | KAREN ANN FAY |
| Entity Type | Organization |
| Authorized Contact | ANNA M MANCHA Executive Director 928-776-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 4192) |
| 174400000X Specialist (Licence: AZ 3724) | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency (Licence: AZ 4192) | |
| 252Y00000X Early Intervention Provider Agency (Licence: AZ 3724) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AZ 4192) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 5331) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-10-08 |