| NPI | 1821342122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA QUIROZ Office Director 623-780-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AZ 786824) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AZ 786824) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ 786824) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 786824) | |
| 385H00000X Respite Care (Licence: AZ 786824) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 786824) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |