| NPI | 1669248571 |
|---|---|
| Doing Business As | DESERT PALM AT 10TH PLACE |
| Entity Type | Organization |
| Authorized Contact | MAZCIEL HERNANDEZ Managing Member 623-738-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |