| NPI | 1164806105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STITELER Owner/Manager 602-944-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9373H) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |