| NPI | 1932685997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA FLOWERS Owner 623-312-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |