| NPI | 1649736026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY ROSS Owner 480-415-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |