PENALI MANOR LLC NPI 1992295984

NPI Information

NPI: 1992295984
Provider Name: PENALI MANOR LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
8023 S 51ST DR
LAVEEN, AZ
ZIP 85339
Phone: (480) 207-1272
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PENALI MANOR LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Laveen, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PENALI MANOR LLC NPI is 1992295984. The provider is registered as an organization entity type.

The provider's business location address is:

8023 S 51ST DR
LAVEEN, AZ
ZIP 85339-840
Phone: (480) 207-1272

The provider's authorized official is Peggy Nyalita .
The authorized official title is Administrator and has the following contact phone number (302) 530-9489.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		BH5417	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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