| NPI | 1568665180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENEEN MARIE DE VRIES Owner 623-221-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5480) |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2020-08-22 |