| NPI | 1225510118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANCA MICU Owner 602-803-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10804H) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ AL10804H) |
| 385H00000X Respite Care (Licence: AZ AL10804H) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |