| NPI | 1518574292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GAIL ADAMS Owner 623-337-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |