| NPI | 1184929747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI CANISALES Administrative Assistant 602-237-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: AZ LP036157) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-17 |