| NPI | 1164624821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA E SMITH Manager 480-897-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-1165) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |