| NPI | 1679165096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DATINGALING CEO / President / Owner 602-277-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-06-23 |