| NPI | 1518246305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VAUGHN Owner 602-218-5391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ L16865045) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: AZ L16865045) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-02-08 |