| NPI | 1720116577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY WILSON Director 928-532-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5748) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |