NPI | 1861876500 |
---|---|
Doing Business As | ST CHARLES PLACE III |
Entity Type | Organization |
Authorized Contact | JAMES WILLIAMS Manager/Owner 602-276-0084 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL 8954H) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ AL3064H) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |