| NPI | 1396136818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEANA M IVANOV CEO 928-200-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AZ 978494) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ D02301413) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-11 |