| NPI | 1982070272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA L MASTOV School Nurse 602-279-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AZ 189944) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |