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ST. MICHAEL'S MANOR

Adult Care Home

Peoria, Arizona

Provider NPI: 1619047305

Organization Information:
Organization Name:  ST. MICHAEL'S MANOR


Practice Location:
8449 W SHAW BUTTE DR  PEORIA, AZ 85345 US
Tel: 623-486-5987  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZALH-5308
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
AZALH6365
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
AZALH-4384

Other Provider Identifiers:

IssuerNumberStateType
AHCCCS966244AZ01
AHCCCS827777AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS AZ - Page 1