| NPI | 1851390330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA R MITCHELL Administrator 928-425-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI 412) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |