Pastalino Manor LLC

NPI #1386940401 in Chandler, Arizona

Provider Information

NPI Number: 1386940401
Entity Type: Organization
Organization Name: Pastalino Manor LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 1383 W KESLER LN
City: Chandler
State: Arizona
ZIP Code: 85224-7289
Phone: (480) 634-5485

Authorized Official

Name: MR. PAUL KIVILA
Title: PROGRAM DIRECTOR
Phone: (951) 236-4717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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