| NPI | 1972974954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELIDA FANTILAGA HERVIAS Administrator 623-234-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-11-20 |