PAVILION GUEST HOME
Adult Care Home
Mesa, Arizona
Provider NPI: 1194861716
Organization Information:Organization Name: PAVILION GUEST HOME
Practice Location:
2955 E MALLORY ST MESA, AZ 85213 US
Tel: 480-654-8329 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
2955 E MALLORY ST MESA, AZ 85213 US
Tel: 480-654-8329 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AZ | ALH 4489 |