| NPI | 1639323082 |
|---|---|
| Other Name | 40 SANDSTONE COURT |
| Entity Type | Organization |
| Authorized Contact | ZANE GARCIA RAMADAN Assistant Director 480-490-6538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2024-07-03 |