| NPI | 1740807270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BELTON CEO 623-440-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-05-16 |