| NPI | 1295096675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ELIZABETH GEARHEART Owner, President 623-330-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ AL8728H) |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2012-06-02 |