| NPI | 1275071433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WALTERS ANDERSON Owner 480-228-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL10219H) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |