| NPI | 1891240107 |
|---|---|
| Former Legal Business Name | ELIZABETH HOUSE, LLC. |
| Entity Type | Organization |
| Authorized Contact | CHAD ROCHE CEO 480-712-6170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-10-05 |