| NPI | 1659105021 |
|---|---|
| Doing Business As | HOUSE OF LYDIA LLC |
| Entity Type | Organization |
| Authorized Contact | REGINA JONES Owner 602-880-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |