| NPI | 1881043503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY JOLLEY-WEBSTER Owner 602-571-0529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL8243H) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |