| NPI | 1467349704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES IDEMUDIA Lpn Manager 602-327-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347E00000X Transportation Broker | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |