| NPI | 1770829848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA GRACE CORAZON JUACHON FERNANDEZ Administrator 602-710-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8501H) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |