| NPI | 1124667548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MEADE CEO 602-451-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253J00000X Foster Care Agency | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |