Tom Plivatus Ishengoma
Tom Plivatus Ishengoma is an Assisted Living Facility in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19535 N 55th DrGlendale, AZ 85308-6805
Phone: (614) 966-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1558135574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 9, 2023 |
| Last updated in NPPES | November 9, 2023 |
| Certification date | November 9, 2023 |
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