| NPI | 1578976999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY A SKOUSEN Owner 602-317-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9403H) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |