| NPI | 1174619092 |
|---|---|
| Doing Business As | MINGUS TERRACE ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | LORI MARIE FRUCHEY Member 928-634-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5769) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |