| NPI | 1679015697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA FRAZIER Director 520-797-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 127502) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |