| NPI | 1245432152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR Q ZAPANTA Gove RN Ing Authority 602-694-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-4898) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2020-08-22 |