| NPI | 1710433974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LORI ROBINS Health Technician Lpn 623-876-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: AZ LP049018) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |