| NPI | 1003607425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARICE L GARNER Manager/Owner 602-369-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |