| NPI | 1881266328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HINOJOA Owner/Manager 520-401-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |