| NPI | 1235911587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULKADIR MOHAMED SIMBA Owner 623-444-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 146D00000X Personal Emergency Response Attendant | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251E00000X Home Health | |
| 251X00000X | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |