| NPI | 1255942702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MOORE Member/Manager 602-535-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |