# PASTALINO MANOR 4

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356853915
- **Authorized official:** MR. PAUL MUNYAO KIVILA B.A. (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (480) 634-5485

## Contact information

- **Practice address:** 1421 E MALDONADO DR, PHOENIX, AZ 85042-5602
- **Practice address phone:** (602) 296-5487
- **Mailing address:** 1383 W KESLER LN, CHANDLER, AZ 85224-7289
- **Mailing address phone:** (480) 634-5485
- **Mailing address fax:** (480) 699-7288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 11/03/2017