| NPI | 1407312291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTOYA THOMAS CEO 602-380-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2021-06-26 |