| NPI | 1275042657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL ANOUTI Owner 520-461-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ BH5146) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |