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Pastalino Manor Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chandler, Arizona
NPI 1386940401

Pastalino Manor Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chandler, AZ. Pastalino Manor Llc practices in Chandler, AZ. The NPI Number for Pastalino Manor Llc is 1386940401 and holds a License No. BH-3710 (Arizona).

The current practice location address for Pastalino Manor Llc is 1383 W Kesler Ln, Chandler, AZ and can be reached out via phone at 480-634-5485 and via fax at 480-634-5485.

Location: 1383 W Kesler Ln, Chandler, AZ, 85224-7289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386940401
Provider Name
Pastalino Manor Llc
Credential
Provider Entity Type
Organization
Address
1383 W Kesler Ln, Chandler, AZ, 85224-7289
Phone Number
480-634-5485
Fax Number
480-634-5485
Provider Enumeration Date
02/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-3710 01 AZ AZ DEPT. OF HEALTH OBHL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1383 W Kesler Ln
City
Chandler
State
Arizona
Zip
85224-7289
Phone Number
480-634-5485
Fax Number
480-634-5485
person
Provider Business Mailing Address Details
Address
1383 W Kesler Ln
City
Chandler
State
Arizona
Zip
85224-7289
Phone Number
480-634-5485
Fax Number
480-634-5485
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH-3710 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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