| NPI | 1306691670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN DAVIS Owner 623-748-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-06-20 |