| NPI | 1073716841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARION FERGUSON Owner 602-494-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ alh-5135) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-12-03 |