| NPI | 1407398290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORABHJOAT POONAM SINGH Owner 623-738-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10097H) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |