| NPI | 1083957443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN MOHAMEED ABDELRAHMAN Owner 480-329-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ 565310) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |