| NPI | 1972288678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SOK Director 480-206-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |