| NPI | 1437518537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIA JENKINS Lpn School Nurse 623-227-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AZ lp030525) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |