| NPI | 1306798558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MARCUS ABELLIDO Manager 480-599-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-11 |