| NPI | 1215667761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWITAR RUMICHO Owner 602-930-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |