| NPI | 1306833355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAE LUCIAN NEGREA Owner 623-773-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-4783) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |