| NPI | 1821117326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH GLOVER Administrative Manager 602-441-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-4868) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: AZ ALH-4868) |
| 311Z00000X Custodial Care Facility (Licence: AZ ALH-4868) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-4868) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |