| NPI | 1174052799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY J BRADLEY Owner 623-999-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |