| NPI | 1124513205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY KAGWANJA Director 520-820-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |