| NPI | 1689148512 |
|---|---|
| Former Legal Business Name | ARIZONA LOVE AND CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JARVIS DWAYNE BERRY Owner 623-570-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |