| NPI | 1366977506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN WOODWARD Founder 602-429-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |