NPI | 1255198545 |
---|---|
Doing Business As | DESERT PALM ON VIRGINIA |
Entity Type | Organization |
Authorized Contact | MAZCIEL HERNANDEZ CEO 623-738-6155 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |