NPI | 1144766916 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE BLAIR Managing Member 602-410-8698 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8891H) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |