| NPI | 1083698328 |
|---|---|
| Former Legal Business Name | CRYSTAL LODGE INVESTORS |
| Entity Type | Organization |
| Authorized Contact | JOHN GARVEY General Partner 602-279-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution (Licence: AZ ALC-4746) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ ALC 4746) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-08-19 |