| NPI | 1053685412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARTINEZ CEO 928-338-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 643341) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |