| NPI | 1154967826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL NJUNGEA TANGIM Administrator 520-849-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |