Regal Manor Assisted Living Home

NPI #1902106818 in Chandler, Arizona

Provider Information

NPI Number: 1902106818
Entity Type: Organization
Organization Name: Regal Manor Assisted Living Home
Subpart: Yes (part of a larger organization)
Parent Organization: MARIA R. NATIVIDAD,INC.
Primary Specialty: Community Health Worker
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 474 W REMINGTON DR
City: Chandler
State: Arizona
ZIP Code: 85286-7652
Phone: (602) 295-9214

Authorized Official

Name: MS. MARIA RONDILLA NATIVIDAD
Title: OWNER/LICENSEE
Phone: (602) 295-9214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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