| NPI | 1366871535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ELLIS KOKROKO Owner 520-529-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9048H) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |