| NPI | 1154417731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANELY ZARAGOZA Facility Manager 480-580-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-4988) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ ALH-4988) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ ALH-4988) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |