NPI 1174903173
Mulligan's Manor
Practice location
- Address
- 4701 S. Lakeshore Drive # 1, Tempe, AZ 85282
- Phone
- (480) 455-2601
- Mailing address
- 4701 S Lakeshore Dr, Tempe, AZ 85282-7169
Authorised official
- Name
- Jennifer Diaz
- Title
- Executive Director
- Phone
- (480) 455-2601
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1174903173
- Entity type
- Organization
- NPI issued
- 4 Jun 2015
- Record last updated
- 21 Jul 2022
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.