Organization
ST WALTER LLC
Active
Other names
ST WALTER GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MANALO FNP-C (CEO)
(480) 326-5143
Entity
Organization
Contact information
Practice address
8650 S LOS FELIZ DR, TEMPE, AZ 85284-2583
(480) 730-9110
(480) 775-7713
Mailing address
840 E CANYON WAY, CHANDLER, AZ 85249-5348
(480) 326-5143
(480) 775-7713
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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