| NPI | 1679796890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DENTON Administrator 480-894-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP034927) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |