Providence Manoir Assisted Living

LBN: Providence Manoir Assisted Living
Providence Manoir Assisted Living is an health care organization with primary practice located at 6567 S Garnet Way , Chandler AZ 85249-7255. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Providence Manoir Assisted Living can be contacted via phone (480) 388-1140, or through Charles, Jean-Marie via phone (480) 388-1140.

Contact Information

Primary practice address
6567 S Garnet Way Chandler AZ 85249-7255
Phone: (480) 388-1140
Fax: (480) 219-1889
Website:
Map and Directions
Authorized official contact:
Name: Charles, Jean-Marie
Phone: (480) 388-1140

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALH-5829 Arizona

Profile Details

NPI number 1285837872
LBN Legal business name Providence Manoir Assisted Living
DBA Doing business as
Authorized official Charles, Jean-Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2007
Last updated Nov 5th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285837872 NPPES
Arizona Other 162761 ALTCS PROVIDER

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