| NPI | 1912504358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES EVELYN HAILE Sole Mbr 928-208-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |