Provider First Line Business Practice Location Address:
21 SENIOR LANE UPPER HUD HOUSING MOENKOPI
Provider Second Line Business Practice Location Address:
HOPI ASSISTED LIVING
Provider Business Practice Location Address City Name:
TUBA CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-283-8780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2015