| NPI | 1205824653 |
|---|---|
| Other Name | ARIZONA EASTERN STAR HOME |
| Entity Type | Organization |
| Authorized Contact | MARIA PARHAM Administrator 602-954-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ nci-307) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ ALC-4559) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |