NPI | 1366643876 |
---|---|
Doing Business As | BAL-TIP ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | ENID BALLENTINE Owner Manager 928-565-3231 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH5490) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |