| NPI | 1174003214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDARDO ALEMAN Member/Administrator 623-236-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9703H) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |