Pavilion Guest Home

LBN: Pavilion Guest Home
Pavilion Guest Home is an health care organization with primary practice located at 2955 E Mallory St , Mesa AZ 85213-1667. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Pavilion Guest Home can be contacted via phone (480) 654-8329, or through Hugo, Marieta G. via phone (480) 654-8329.

Contact Information

Primary practice address
2955 E Mallory St Mesa AZ 85213-1667
Phone: (480) 654-8329
Fax: (480) 830-4113
Website:
Map and Directions
Authorized official contact:
Name: Hugo, Marieta G.
Phone: (480) 654-8329

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X ALH 4489 Arizona

Profile Details

NPI number 1194861716
LBN Legal business name Pavilion Guest Home
DBA Doing business as
Authorized official Hugo, Marieta G.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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