| NPI | 1154617132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI ROBERTS JACSON Owner 480-236-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8424H) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |