| NPI | 1558911131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA DAVIS President 602-345-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |