| NPI | 1598488447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOFUNMI FAKOYA Managing Partner 602-578-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |