| NPI | 1154511202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA SIMONA BONDAR Manager 480-610-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-4846) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-4846) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |