| NPI | 1447645833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA T. SIDDIQUI Administrator 602-332-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ AL9510H) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |