Organization · Type 2 NPI

Penali Manor LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Laveen, AZ

NPI number 1992295984 Active

Practice location

8023 S 51st Dr
Laveen, AZ 85339-2840

Call (480) 207-1272 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XBH5417 (AZ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1992295984

Penali Manor LLC's National Provider Identifier is 1992295984, issued on May 15, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Laveen, AZ. The record was last updated on May 15, 2018.