# AMANDA'S CARE HOME LLC

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

## Provider details

- **NPI number:** 1811044944
- **Authorized official:** MR. MARIUS A BUTAS MANAGER (MANAGER ASSISTED LIVING)
- **Authorized official phone:** (480) 373-8437

## Contact information

- **Practice address:** 8647 E PAMPA AVE, MESA, AZ 85212-1787
- **Practice address phone:** (480) 373-8437
- **Practice address fax:** (480) 373-8438
- **Mailing address:** 8647 E PAMPA AVE, MESA, AZ 85212-1787
- **Mailing address phone:** (480) 373-8437
- **Mailing address fax:** (480) 373-8438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ALH-A108 | AZ | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020