| NPI | 1164821278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B. UDOINWANG President/CEO 602-757-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: AZ BH4454) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |