| NPI | 1487823514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JO SEVERSON Speech Language Pathologist 623-256-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ SLP5154) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |