| NPI | 1619148509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LORI NERHEIM Owner 480-998-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH4544) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH4915) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |