| 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 |