| NPI | 1023841608 |
|---|---|
| Doing Business As | ORDINARY LIFESTYLES IV |
| Entity Type | Organization |
| Authorized Contact | KAREN WATERS Member Manager 928-595-2068 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |