| NPI | 1790007128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN STONE Owner 602-577-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL7830H) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |