| NPI | 1912240938 |
|---|---|
| Doing Business As | EXTENDED FAMILY ASSISTED LIVING HOMES |
| Entity Type | Organization |
| Authorized Contact | MARTA C LOGAN Executive Director 480-833-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-1203) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ AL4343H) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |