NPI 1356853915

Pastalino Manor 4

Organisation Physical Disabilities Residential Treatment Facility Phoenix, AZ

Practice location

Address: 1421 E Maldonado Dr, Phoenix, AZ 85042-5602
Phone: (602) 296-5487
Mailing address: 1383 W Kesler Ln, Chandler, AZ 85224-7289

Authorised official

Name: Paul Munyao Kivila
Title: Administrator/Owner
Phone: (480) 634-5485

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1356853915
Entity type: Organization
NPI issued: 3 Nov 2017
Record last updated: 3 Nov 2017

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.