| NPI | 1477975647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PRADHAN-NARA Sole Member 520-266-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 32180) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ 32180) |
| 314000000X Skilled Nursing Facility (Licence: AZ 32180) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2016-01-20 |