# DIAMOND MANOR ADULT CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIAMOND MANOR ADULT CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275811598
- **Authorized official:** MRS. MARIA VIRGINIA N CORDOVA (MANAGER/OWNER)
- **Authorized official phone:** (480) 703-7396

## Contact information

- **Practice address:** 7330 W. GETTY DRIVE, PHOENIX, AZ 85043
- **Practice address phone:** (480) 703-7396
- **Practice address fax:** (602) 237-1624
- **Mailing address:** 4356 W ST CATHERINE AVE, LAVEEN, AZ 85339-6233
- **Mailing address phone:** (480) 703-7396
- **Mailing address fax:** (602) 237-1624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL7047H | AZ | Yes |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 08/03/2011