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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