| NPI | 1336498906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELITE KANKINDI Caregiver 623-297-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ AL8758H) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |