| 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 |