| NPI | 1912443797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE TANG Owner/Administrator 480-240-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10146H) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |