Organization
ST. MICHAEL'S MANOR
Active
Parent organization
ST. MICHAEL'S MANOR LLC
Other names
ST. MICHAEL'S MANOR II
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MICHAEL'S MANOR LLC
Authorized official
MRS. TERESITA ARCENA CABACUNGAN (PRESIDENT)
(623) 680-3733
Entity
Organization
Contact information
Practice address
3709 S 77TH LN, PHOENIX, AZ 85043-1233
(623) 680-3733
Mailing address
3709 S 77TH LN, PHOENIX, AZ 85043-1233
(623) 680-3733
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/13/2024
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