| NPI | 1194956128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKE ROGERS Program Manager 602-446-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AZ 3719) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AZ 449789) |
| 253Z00000X In Home Supportive Care (Licence: AZ 3719) | |
| 251C00000X (Licence: AZ 3719) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 3719) | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-10-29 |