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 |