| NPI | 1144360512 |
|---|---|
| Doing Business As | LASHANNA ROE |
| Entity Type | Organization |
| Authorized Contact | LASHANNA D ROE Owner 623-570-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH5220) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-09-14 |