| NPI | 1255915344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABIBA DJUMAPILI MAULIDI Director 480-404-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |