| NPI | 1710632807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENER BERNARDO Owner 602-410-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |