| NPI | 1942880497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUNGE Director 928-607-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |