| NPI | 1902551914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MALLARI Clinical Director/ Alf Manager 602-908-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-01-31 |