| NPI | 1043104672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULYSSES LAURENTE Administrator 623-565-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |