| NPI | 1174050579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLEN MANGAN Administrator 480-518-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10172H) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |