NPI 1386940401

Pastalino Manor LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Chandler, AZ

Practice location

Address: 1383 W Kesler Ln, Chandler, AZ 85224-7289
Phone: (480) 634-5485
Fax: (480) 634-5485

Authorised official

Name: Paul Kivila
Title: Program Director
Phone: (951) 236-4717

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence BH-3710 (AZ)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1386940401
Entity type: Organization
NPI issued: 7 Feb 2011
Record last updated: 7 Feb 2011

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.