| NPI | 1972291466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIBUEZE ONAH Administrator 602-715-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-27 |