| NPI | 1164289450 |
|---|---|
| Doing Business As | DESERT PALM ON PALM LANE |
| Entity Type | Organization |
| Authorized Contact | MAZCIEL HERNANDEZ CEO 623-738-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |