| NPI | 1356000442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAQUITTA S SMITH Certified Nurse Assistant 480-334-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |