| NPI | 1982769907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DARLENE SCHMITZ Secretary,Owner,Manager 928-753-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALC-2600) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |