| NPI | 1194861716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETA G. HUGO Owner 480-654-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH 4489) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |