| NPI | 1609163120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIUD WANGUSI Owner/Manager 480-584-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ al7506h) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |