| NPI | 1376059550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISA KAPORALIS Manager 602-339-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL10549H) |
| Enumeration Date | 2017-12-24 |
| Last Update Date | 2017-12-24 |