| NPI | 1255947156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL N IGWE Cmo 480-228-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |