| NPI | 1063749836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E MORIN Member/Administrator 520-836-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2692) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2011-08-19 |