| NPI | 1386971877 |
|---|---|
| Doing Business As | THE CARRIAGE HOUSE ON WEST GARDEN LANE |
| Entity Type | Organization |
| Authorized Contact | LARRY DOUGLAS MATYAS Owner 928-536-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALC-4533) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |