Organization
PASTALINO MANOR LLC
Active
Organization
PASTALINO MANOR LLC
Active
Other names
pastalino manor llc
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MUNYAO KIVILA SR. BA (CEO)
(480) 634-5485
Entity
Organization
Contact information
Practice address
4929 E LAUREL LN, SCOTTSDALE, AZ 85254-4640
(951) 236-4717
(480) 664-7668
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(951) 236-4717
(480) 664-7668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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