| NPI | 1942736582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA WHITE Regional Director 623-583-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL8153C) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |