| NPI | 1184402950 |
|---|---|
| Doing Business As | ACTIVE FRIENDLY CARE LLC |
| Entity Type | Organization |
| Authorized Contact | BRENDA CAMPBELL Administrator 602-975-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |