NPI | 1518650704 |
---|---|
Entity Type | Organization |
Authorized Contact | TESFAHUN WORKU OUTE Owner/Member 602-585-7081 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2023-06-01 |
Last Update Date | 2023-06-01 |