NPI | 1699289215 |
---|---|
Entity Type | Organization |
Authorized Contact | RODICA MERTIC Owner/Caregiver 602-403-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2017-11-17 |
Last Update Date | 2017-11-17 |