| NPI | 1932725835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENAVIDES EUSEBIO TORRENO Owner/Manager 602-516-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |