| NPI | 1366909756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ARAYON Statutory Agent 480-306-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |