NPI | 1104381300 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE KEMBOI Director 623-271-9011 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-01 |