| NPI | 1326765165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO EZEALAH Adinistrator 480-650-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |