| NPI | 1518466903 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | GLADYS N/A KWAMBOKA Ad MIS Trator 480-329-0820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |