# ST. MICHAEL'S MANOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TERESITA And MARIO CABACUNGAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619047305
- **Authorized official:** MRS. TERESITA ARCENA CABACUNGAN (OWNER)
- **Authorized official phone:** (562) 673-3214

## Contact information

- **Practice address:** 8449 W SHAW BUTTE DR, PEORIA, AZ 85345-8160
- **Practice address phone:** (623) 486-5987
- **Practice address fax:** (623) 328-5530
- **Mailing address:** 8449 W SHAW BUTTE DR, PEORIA, AZ 85345-8160
- **Mailing address phone:** (623) 486-5987
- **Mailing address fax:** (623) 328-5530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALH-4384 | AZ | Yes |
| 311ZA0620X | Adult Care Home Facility | ALH-5308 | AZ | — |
| 311ZA0620X | Adult Care Home Facility | ALH6365 | AZ | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 05/31/2008