| NPI | 1548761141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVU JARICHA Administrator/Co Owner 623-313-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10543H) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-01-02 |