| NPI | 1902106818 |
|---|---|
| Doing Business As | GENTLE CARE ASSISTED LIVING HOME 2 |
| Entity Type | Organization |
| Authorized Contact | MARIA RONDILLA NATIVIDAD Owner/Licensee 602-295-9214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AZ AL7296H) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |