| NPI | 1831714302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIBHAKHOMEN ESABU CEO 623-755-0431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |