| NPI | 1770505448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE PETERSON CEO 623-815-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-376(SNF)) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |