| NPI | 1861606923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL PENNY PERONTO Director 623-516-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |