| NPI | 1801404298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW OHIMAI OJO Administrator 928-247-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-12-21 |