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Organization

PASTALINO MANOR 4

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL MUNYAO KIVILA B.A. (ADMINISTRATOR/OWNER)
(480) 634-5485
Entity
Organization

Contact information

Practice address
1421 E MALDONADO DR, PHOENIX, AZ 85042-5602
(602) 296-5487
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(480) 634-5485
(480) 699-7288

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
11/03/2017
Last updated
11/03/2017
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