NPI | 1275811598 |
---|---|
Doing Business As | DIAMOND MANOR ADULT CARE LLC |
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 |