| NPI | 1013009745 |
|---|---|
| Other Name | ARIZONA STATE VETERANS' HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS Administrator 602-248-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-447) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-03-10 |