| NPI | 1972015105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA R OLIVARES CEO 602-803-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ 10223435) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: AZ 10223435) |
| 253Z00000X In Home Supportive Care (Licence: AZ 10223435) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2018-04-18 |