| NPI | 1144212093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A. BYRUM Controller 480-946-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-068) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: AZ ALC-5259) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-07-24 |