| NPI | 1831463686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GREEN RN 623-329-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: AZ LP046241) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2012-02-25 |