| NPI | 1588052583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANELIA MARICIANA ALVARENGA Owner 623-396-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ 544480) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |