| NPI | 1992194609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISES PEREZ Administrator 602-466-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: AZ AL9500H) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |