| NPI | 1518038520 |
|---|---|
| Doing Business As | CACTUS WREN ASSISTED HOME CARE II |
| Entity Type | Organization |
| Authorized Contact | SHIRLETA CANOY SODEN Owner 602-741-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-5184) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-5818) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |