| NPI | 1316827041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYN HESTERLEE Administrator 928-970-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |