| NPI | 1205977261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA OPHELIA CALLENDER Administrator Manager 623-845-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ ALH5269) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-09-28 |