| NPI | 1205100310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHRISTINE EVANS Staff Nurse 520-770-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AZ rn056803) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |