# PASTALINO MANOR LLC

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

## Provider details

- **NPI number:** 1912757527
- **Legal business name:** PASTALINO MANOR LLC
- **Authorized official:** PAUL MUNYAO KIVILA (ADMINISTRATOR)
- **Authorized official phone:** (951) 236-4717

## Contact information

- **Practice address:** 6809 S 55TH LN, LAVEEN, AZ 85339-2250
- **Practice address phone:** (951) 236-4717
- **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:** 03/26/2024
- **Last updated:** 03/26/2024