| NPI | 1295486256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIKIA BOYD Owner/ Operator 520-279-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-02-25 |