St Michael's Manor
St Michael's Manor is an Adult Care Home Facility in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
8449 W Shaw Butte DrPeoria, AZ 85345-8160
Phone: (623) 486-5987
Fax: (623) 328-5530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence ALH-4384 (AZ) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence ALH-5308 (AZ) |
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence ALH6365 (AZ) |
Record details
| NPI number | 1619047305 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Teresita Cabacungan — Owner · (562) 673-3214 |
| Other names | Teresita And Mario Cabacungan |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | May 31, 2008 |
| Mailing address | 8449 W Shaw Butte Dr, Peoria, AZ 85345-8160 |
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