| NPI | 1174955330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEY M SEGRERA-GRABANIA President 480-707-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |