NPI | 1588094445 |
---|---|
Former Name | ROCHELLE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10582F) |
Additional Taxonomies | 171W00000X Contractor (Licence: AZ AL9669H) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2018-03-17 |