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 |