| NPI | 1689219651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MYRRAN JACKSON-SEARS President 520-709-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |