Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penali Manor LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1992295984

Penali Manor LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Laveen, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8023 S 51st Dr
Laveen, AZ 85339-2840
Phone: (480) 207-1272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence BH5417 (AZ)

Record details

NPI number1992295984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Nyalita — Administrator · (302) 530-9489
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address8023 S 51st Dr, Laveen, AZ 85339-2840

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