| NPI | 1205456084 |
|---|---|
| Doing Business As | LIFESTREAM AT YOUNGTOWN GREEN HOUSE 1 |
| Entity Type | Organization |
| Authorized Contact | RONAD EDWARD ESTES President 623-933-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |