| NPI | 1316681315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBE L NINO Owner 602-722-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |