| NPI | 1790086379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W. NELSON Physician 480-444-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |