| Mulligan's Manor, Inc. | |
|
4701 S Lakeshore Dr Unit 1 Tempe AZ 85282-7169 | |
| (480) 831-8721 | |
| (480) 272-8708 |
| Full Name | Mulligan's Manor, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4701 S Lakeshore Dr Unit 1, Tempe, Arizona |
| Authorized Official Name and Position | Jennifer Samayoa Diaz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4808318727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulligan's Manor, Inc. 4701 S Lakeshore Dr Unit 1 Tempe AZ 85282-7169 Ph: (480) 831-8721 | Mulligan's Manor, Inc. 4701 S Lakeshore Dr Unit 1 Tempe AZ 85282-7169 Ph: (480) 831-8721 |
| NPI Number | 1427536770 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427536770 | NPI | - | NPPES |
| 217581 | Medicaid | AZ |
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