NPI | 1275377483 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY JOSEPOH CLARIDGE Owner 623-246-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 332U00000X Home Delivered Meals |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |