| NPI | 1588992820 |
|---|---|
| Doing Business As | MESA MANOR HOME |
| Entity Type | Organization |
| Authorized Contact | ERNESTA DAUZ PEARL Owner/Licensee 602-295-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ BH-3308) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |