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1356097810
MATA RESIDENTIAL CARE
PHOENIX, AZ
NPI
1356097810
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Entity Type
Organization
Authorized Contact
JEAN CLAUDE MATABARO
Program Director
602-549-1661
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
MATA RESIDENTIAL CARE
3809 S 64TH LN
PHOENIX, AZ 85043-0131
Phone number: 602-549-1661
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Mailing Address
MATA RESIDENTIAL CARE
3809 S 64TH LN
PHOENIX, AZ 85043-0131
Phone number: 602-549-1661
Copy
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