| NPI | 1447525324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE STORY Owner/Administrator 480-827-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL0223H) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |