| NPI | 1245424225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN D SMITH Vice President 480-661-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: AZ DDH1574) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2010-07-30 |