| NPI | 1811296262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN K AGURU Chief Administrator 623-455-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |