| NPI | 1750112066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MOLDOVAN Owner/Administrator 623-399-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |