| NPI | 1275901175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH U OPARA Administrator 520-836-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2692) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |