| NPI | 1386944296 |
|---|---|
| Doing Business As | REGAL MANOR ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | MARIA RONDILLA NATIVIDAD Owner/Licensee 602-295-9214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AZ AL6888H) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |