| NPI | 1558669630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA A. CLAW Owner 928-714-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AZ 509075) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 509075) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |