| NPI | 1730691288 |
|---|---|
| Doing Business As | SOUTHERN ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | JULIA ERICKSON Operations Manager 602-426-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9327H) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |