NPI 1275284234

Amanda's Care Home II LLC

Organisation Custodial Care Facility Mesa, AZ

Practice location

Address: 8647 E Pampa Ave, Mesa, AZ 85212-1787
Phone: (480) 373-8437
Mailing address: 3459 E Vaughn Ave, Gilbert, AZ 85234-4247

Authorised official

Name: David Wanje
Title: Owner
Phone: (909) 434-6940

Registered specialties (2)

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in Arizona →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Registry record

NPI: 1275284234
Entity type: Organization
NPI issued: 12 Jan 2022
Record last updated: 13 Jan 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.