NPI | 1255835997 |
---|---|
Doing Business As | KOALA-D MEDS |
Entity Type | Organization |
Authorized Contact | TROY BERKLEY Owner 480-302-1101 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AZ AL10509H) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2019-06-12 |