| NPI | 1134941800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE NJUE Owner 480-980-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |