| NPI | 1558753533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SIDDIQUI Administrator 602-332-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL8880H) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |