| NPI | 1326819178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE E FIERRO VALDEZ Operations Manager 602-501-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251S00000X | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |