| NPI | 1225635022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA SULEYMANOVA Owner 480-828-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |