| NPI | 1568462471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BUFFALO Administrator 520-296-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 3006445-1616b) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |