Organization
CHRISTINE PLACE LLC
Active
Organization
CHRISTINE PLACE LLC
Active
Other names
christine place apartments
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICO MANZONE M.D. (OWNER)
(480) 964-6685
Entity
Organization
Contact information
Practice address
248 N MACDONALD, MESA, AZ 85201-6651
(480) 964-6685
Mailing address
248 N MACDONALD, MESA, AZ 85201-6651
(480) 964-6685
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RCI-1132
AZ
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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