| NPI | 1710158878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ M DE VERA Administrator/Manager 480-350-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5803) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-06-15 |