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Imelda Siongco
Adult Care Home Facility in Chandler, Arizona
NPI 1215311238

Imelda Siongco is an Adult Care Home Facility based in Chandler, AZ and is specialized in Adult Care Home. Imelda Siongco practices in Chandler, AZ. The NPI Number for Imelda Siongco is 1215311238 and holds a License No. AL9060 (Arizona).

The current practice location address for Imelda Siongco is 1432 N. De Soto St., Chandler, AZ and can be reached out via phone at 480-755-4390.

Location: 1432 N. De Soto St., Chandler, AZ, 85224-4283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215311238
Provider Name
Imelda Siongco
Credential
Provider Entity Type
Individual
Gender
Female
Address
1432 N. De Soto St., Chandler, AZ, 85224-4283
Phone Number
480-755-4390
Fax Number
Provider Enumeration Date
07/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
825596 05 AZ
825613 05 AZ
institution
Provider Business Practice Location Address Details
Address
1432 N. De Soto St.
City
Chandler
State
Arizona
Zip
85224-7850
Phone Number
480-755-4390
Fax Number
person
Provider Business Mailing Address Details
Address
1432 N. De Soto St.
City
Chandler
State
Arizona
Zip
85224-7850
Phone Number
480-755-4390
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL9060 (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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