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St. Michael's Manor
Adult Care Home Facility in Peoria, Arizona
NPI 1619047305

St. Michael's Manor is an Adult Care Home Facility based in Peoria, AZ and is specialized in Adult Care Home. St. Michael's Manor practices in Peoria, AZ. The NPI Number for St. Michael's Manor is 1619047305 and holds a License No. ALH-4384 (Arizona).

The current practice location address for St. Michael's Manor is 8449 W Shaw Butte Dr, Peoria, AZ and can be reached out via phone at 623-486-5987 and via fax at 623-328-5530.

Location: 8449 W Shaw Butte Dr, Peoria, AZ, 85345-8160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619047305
Provider Name
St. Michael's Manor
Credential
Provider Entity Type
Organization
Address
8449 W Shaw Butte Dr, Peoria, AZ, 85345-8160
Phone Number
623-486-5987
Fax Number
623-328-5530
Provider Enumeration Date
11/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
827777 01 AZ AHCCCS
966244 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
8449 W Shaw Butte Dr
City
Peoria
State
Arizona
Zip
85345-8160
Phone Number
623-486-5987
Fax Number
623-328-5530
person
Provider Business Mailing Address Details
Address
8449 W Shaw Butte Dr
City
Peoria
State
Arizona
Zip
85345-8160
Phone Number
623-486-5987
Fax Number
623-328-5530
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
ALH-4384 (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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