| NPI | 1881847671 |
|---|---|
| Doing Business As | MINGUS MANOR ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | LORI MARIE FRUCHEY Owner, Manger 928-634-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-6705) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |