ST. MICHAEL'S MANOR NPI 1619047305

NPI Information

ST. MICHAEL'S MANOR is an adult care home custodial care facility in Peoria, AZ. The provider is 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. ST. MICHAEL'S MANOR NPI is 1619047305. The provider is registered as an organization entity type.
The provider Is Doing Business As Teresita And Mario Cabacungan.

The provider's business location address is:

8449 W SHAW BUTTE DR
PEORIA, AZ
ZIP 85345-160
Phone: (623) 486-5987
Fax: (623) 328-5530

The provider's authorized official is Teresita Arcena Cabacungan .
The authorized official title is Owner and has the following contact phone number (562) 673-3214.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 5/31/2008.

Taxonomy Codes

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Other Identifiers

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