| NPI | 1992098420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L RHOADES Owner 480-861-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ 311ZA0620X) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |