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1821706813
MATA RESIDENTIAL CARE
PHOENIX, AZ
NPI
1821706813
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Entity Type
Organization
Authorized Contact
JEAN CLAUDE MATABARO
Program Director
281-505-0577
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
MATA RESIDENTIAL CARE
3736 S 64TH DR
PHOENIX, AZ 85043-0127
Phone number: 281-505-0577
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Mailing Address
MATA RESIDENTIAL CARE
3736 S 64TH DR
PHOENIX, AZ 85043-0127
Phone number: 281-505-0577
Copy
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