PAVILION GUEST HOME
Nursing at Mallory St, Mesa, AZ

License number
Arizona ALH 4489
Category
Nursing
Type
Adult Care Home
Owner
Name: MARIETA G. HUGO
Title: OWNER
Phone: (480) 654-8329
Address
Address
2955 E Mallory St, Mesa, AZ 85213
National Provider ID: 1194861716
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PAVILION GUEST HOME at bizstanding.com

PAVILION GUEST HOME, LLC

2955 E Mallory St, Mesa, AZ 85213

Industry:
Residential Care Services
Registration:
Nov 15, 2007
State ID:
L-1408773-2
Expiration:
PERPETUAL
Managers:
Marieta Gatmaitan Hugo (Manager, Owner, Principal), 2955 E Mallory St, Mesa, AZ 85213 (Physical),Albert Zapata (Manager), 2955 E Mallory St, Mesa, AZ 85213 (Physical)
Agent:
Lemuel A Carols,1830 S Alma School Rd STE 104, Mesa, AZ 85210 (Physical)

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