NPI | 1215700075 |
---|---|
Entity Type | Organization |
Authorized Contact | LEKESH PETTIS Owner, President 480-547-0543 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-11-03 |