Organization
PASTALINO MANOR LLC
Active
Parent organization
PASTALINO MANOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASTALINO MANOR LLC
Authorized official
MR. PAUL MUNYAO KIVILA (ADMINISTRATOR)
(480) 634-5485
Entity
Organization
Contact information
Practice address
3014 W GLASS LN, PHOENIX, AZ 85041-6365
(951) 500-8616
(480) 699-7288
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(951) 500-8616
(480) 699-7288
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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