| NPI | 1245995182 |
|---|---|
| Doing Business As | SU CASA ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | AUSTIN D POWERS Authorized Official 602-748-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-15 |