# PASTALINO MANOR LLC 5

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PASTALINO MANOR LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659911576
- **Legal business name:** PASTALINO MANOR LLC
- **Authorized official:** MR. PAUL MUNYAO KIVILA SR. (ADMINISTRATOR)
- **Authorized official phone:** (480) 634-5485

## Contact information

- **Practice address:** 8815 S 57TH LN, LAVEEN, AZ 85339-5291
- **Practice address phone:** (480) 634-5485
- **Practice address fax:** (480) 699-7288
- **Mailing address:** 1383 W KESLER LN, CHANDLER, AZ 85224-7289
- **Mailing address phone:** (951) 236-4717
- **Mailing address fax:** (480) 699-7288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 01/08/2020