| NPI | 1528359544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY CATHERINE REINARD Owner/Manager 520-306-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL8124H) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL8238H) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |