| NPI | 1679360416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTIN MITRICA Owner / Manager 602-363-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |