| NPI | 1174815302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES ALAAN Owner/Manager 480-361-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ al8327h) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |