| NPI | 1588866420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTILIA POPA Owner Manager 602-375-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ 2315) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |