| NPI | 1346901956 |
|---|---|
| Other Name | 40 OASIS COURT |
| Entity Type | Organization |
| Authorized Contact | ZANE GARCIA RAMADAN Assistant Director 480-490-6538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-07-03 |