| NPI | 1386264190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MIRANDA Owner 928-304-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |