| NPI | 1154665958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY SULEIMANOV Bod 602-923-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ MED5059) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2015-02-18 |