NPI | 1225553985 |
---|---|
Entity Type | Organization |
Authorized Contact | ELMER NABONG DELA CRUZ Owner 623-337-4753 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10437H) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |