| NPI | 1932462512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY POWELL Clinical Director 888-998-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 13925) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |