| NPI | 1639524598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA TERESITA PATINO ISIDERIO President/Owner 602-818-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL9850H) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |