| NPI | 1104193663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA ILEA Assisted Living Facility Manager 623-628-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8482H) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |