| NPI | 1588309942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI BASHIR DOL Owner 623-688-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-04-30 |