| NPI | 1275811598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VIRGINIA N CORDOVA Manager/Owner 480-703-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ AL7047H) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |