| NPI | 1417505611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MICHAEL LESTER CEO 928-421-5201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |