| NPI | 1922454305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL AHMED ISMAIL Owner/ Manager 602-295-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |