| NPI | 1750633798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRUTA VADNERKAR Physician 602-888-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 44931) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2014-04-08 |