| NPI | 1609932193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN G STANSBARGER Owner 480-396-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ 789802) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |