| NPI | 1033809058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIZELA MARTIN Manager 480-298-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |