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 |