| NPI | 1043648595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NICHOLAS YARUSSO Medical Director 602-559-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ 31732) |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2013-10-19 |