NPI | 1538469143 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA M. MUNGUIA President 520-792-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL6429H) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |