| NPI | 1275119810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY R HARRIS Administrative Manager/Owner 520-955-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |