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Organization
DIAMOND MANOR ADULT CARE
Active
Organization
DIAMOND MANOR ADULT CARE
Active
Other names
DIAMOND MANOR ADULT CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA VIRGINIA N CORDOVA (MANAGER/OWNER)
(480) 703-7396
Entity
Organization
Contact information
Practice address
7330 W. GETTY DRIVE, PHOENIX, AZ 85043
(480) 703-7396
(602) 237-1624
Mailing address
4356 W ST CATHERINE AVE, LAVEEN, AZ 85339-6233
(480) 703-7396
(602) 237-1624
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL7047H
AZ
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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