| NPI | 1235936287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN RODRIGUEZ Owner/Manager 520-235-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |