| NPI | 1972473320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT GABRIEL COVENA President 602-900-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |