| NPI | 1841782638 |
|---|---|
| Former Legal Business Name | GOLD WATER ASSISTED LIVING II |
| Entity Type | Organization |
| Authorized Contact | STEPHEN TOHATAN Administrator 480-544-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL9797H) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-16 |