| NPI | 1356680938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM R CREWS President/Owner 480-922-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ 1077172) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2013-02-02 |