| NPI | 1003359068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED SORIANO Director 480-823-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ AL8908H) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |