| NPI | 1770998296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIE ASU TAKO Member Of LLC 480-284-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |