| NPI | 1093030777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JACOBS President 480-444-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC-0384) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |