Organization · Type 2 NPI

Pavilion Guest Home

Adult Care Home Facility · Mesa, AZ

NPI number 1194861716 Active

Practice location

2955 E Mallory St
Mesa, AZ 85213-1667

Call (480) 654-8329 Map

Fax (480) 830-4113

Mailing address

2955 E. Mallory St.
Mesa, AZ 85213

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XALH 4489 (AZ)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1194861716

Pavilion Guest Home's National Provider Identifier is 1194861716, issued on Jan 30, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Mesa, AZ. The record was last updated on Aug 22, 2020.