Pastalino Manor Llc

LBN: Pastalino Manor Llc
Pastalino Manor Llc is an health care organization with primary practice located at 1383 W Kesler Ln , Chandler AZ 85224-7289. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Pastalino Manor Llc can be contacted via phone (480) 634-5485, or through Kivila, Paul via phone (951) 236-4717.

Contact Information

Primary practice address
1383 W Kesler Ln Chandler AZ 85224-7289
Phone: (480) 634-5485
Fax: (480) 634-5485
Website:
Map and Directions
Authorized official contact:
Name: Kivila, Paul
Phone: (951) 236-4717

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X BH-3710 Arizona

Profile Details

NPI number 1386940401
LBN Legal business name Pastalino Manor Llc
DBA Doing business as
Authorized official Kivila, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2011
Last updated Feb 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386940401 NPPES
Arizona Other BH-3710 AZ DEPT. OF HEALTH OBHL LICENSE NUMBER

Popular Providers