| NPI | 1922491505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer /Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2024-09-13 |