| NPI | 1508441932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHUTY KEM Cota/L 623-670-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |