| NPI | 1235496902 |
|---|---|
| Doing Business As | PEPPERTREE SQUARE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | THOMAS J WITT Manager 505-797-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL4725C) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |