| NPI | 1245460559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RABE Program Manager 602-371-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AZ 017774) |
| Additional Taxonomies | 251C00000X (Licence: AZ 017774) |
| 251J00000X Nursing Care (Licence: AZ 017774) | |
| 252Y00000X Early Intervention Provider Agency (Licence: AZ 017774) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-09-10 |