| NPI | 1225515281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ODISHOO Owner 623-792-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10626H) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |