NPI | 1124259627 |
---|---|
Doing Business As | CARVER RANCH ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | MARCUS LEWIS CEO 602-237-7242 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-6207) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2009-07-31 |