| NPI | 1336477520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSTEL TIRDEA Owner 602-358-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-6343) |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2009-11-26 |