Organization
MARGAT,LLC
Active
Other names
PLESANT STAY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MILA MARCELO (OWNER/MGR)
(602) 493-5182
Entity
Organization
Contact information
Practice address
3221 E PERSHING AVE, PHOENIX, AZ 85032-6149
(602) 493-5182
(602) 992-7076
Mailing address
3221 E PERSHING AVE, PHOENIX, AZ 85032-6149
(602) 493-5182
(602) 992-7076
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AL6914H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554073
—
AZ
Enumeration date
02/08/2016
Last updated
02/08/2016
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