Organization
PADILLAS RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IONA MARIE PADILLA (OWNER,MANAGER)
(928) 289-5430
Entity
Organization
Contact information
Practice address
1517 W THIRD ST, WINSLOW, AZ 86047-2919
(928) 289-5430
Mailing address
1517 W THIRD ST, WINSLOW, AZ 86047-2919
(928) 289-5430
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-3002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767337
—
AZ
Enumeration date
01/05/2007
Last updated
08/22/2020
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