| NPI | 1194548131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GETACHEW YIRGA Owner 602-503-2183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |