| NPI | 1922718345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN FOSU Administrator 480-738-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |