| NPI | 1548637200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDA ADALLA CONTAOE MARCELO Owner 928-248-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9708H) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |