NPI 1134950017

St. Michael's Manor

Organisation Adult Care Home Facility Phoenix, AZ

Practice location

Address: 3709 S 77th Ln, Phoenix, AZ 85043-1233
Phone: (623) 680-3733

Authorised official

Name: Teresita Arcena Cabacungan
Title: President
Phone: (623) 680-3733

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Arizona →

Nursing Care Agency

Agencies Taxonomy 251J00000X

Other Nursing Care providers in Arizona →

Registry record

NPI: 1134950017
Entity type: Organization
NPI issued: 12 Aug 2024
Record last updated: 13 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.