Organization
DIAMOND MANOR ADULT CARE
Active
Other names
DIAMOND MANOR ADULT CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA VIRGINIA N CORDOVA (MANAGER/OWNER)
(480) 703-7396
Entity
Organization
Contact information
Practice address
7330 W. GETTY DRIVE, PHOENIX, AZ 85043
(480) 703-7396
(602) 237-1624
Mailing address
4356 W ST CATHERINE AVE, LAVEEN, AZ 85339-6233
(480) 703-7396
(602) 237-1624
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL7047H
AZ
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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