| NPI | 1497013940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE MILES Owner/Manager 928-474-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8465H) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |