| NPI | 1205210218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMA JESMIN Physician 480-718-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ 33279) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |