| NPI | 1649268657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WILLIAMSON Administrator 602-433-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-367) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-09-28 |