NPI | 1548356140 |
---|---|
Doing Business As | LIBER MANOR RESIDENCY 2 |
Entity Type | Organization |
Authorized Contact | MARIA ROXAS President 602-524-8124 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5195) |
Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: AZ ALH-5195) |
3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: AZ ALH-5195) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |