| NPI | 1679337869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOANETA DINCA Manager 480-510-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |