| NPI | 1053931089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLANGE AMANI MIRINDI Director 602-620-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |