| NPI | 1720579022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMIADI EDOGI Administrator 623-418-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |