| NPI | 1124431176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SULZER Administrator 480-747-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ HHA6368) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |