| NPI | 1821272832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH HURT Lpn 623-262-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: AZ LP043323) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |