| NPI | 1336583756 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | GLADYS YOLANDA ROSA Owner 480-392-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8065H) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |