NPI | 1285826941 |
---|---|
Doing Business As | 57TH PLACE |
Entity Type | Organization |
Authorized Contact | RONNIE A BROWN President 602-494-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ACH-113) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2007-08-15 |