| NPI | 1518263052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAHEY Executive Director 623-933-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-258) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |