| NPI | 1588656425 |
|---|---|
| Doing Business As | FOUNTAIN OF YOUTH ADULT CARE HOME |
| Entity Type | Organization |
| Authorized Contact | DANIELA OZARCHEVICI Manager 602-315-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-4698) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-07-02 |