| NPI | 1699020438 |
|---|---|
| Doing Business As | YES |
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL IONESCU Caregiver Manager 602-493-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |