| NPI | 1124747753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BANGURA Owner 623-216-5759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |