| NPI | 1942410253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA JOYCE WHITE Manager 623-975-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALC-4190) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |