| NPI | 1588297006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSTEL TIRDEA Owner/Manager 602-228-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |