Organization
PASTALINO MANOR LLC 5
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 SR. (ADMINISTRATOR)
(480) 634-5485
Entity
Organization
Contact information
Practice address
8815 S 57TH LN, LAVEEN, AZ 85339-5291
(480) 634-5485
(480) 699-7288
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(951) 236-4717
(480) 699-7288
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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