| NPI | 1982763751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINA PANGANIBAN SOMERA Administrator, Manager 480-786-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ 1511) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |