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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANUELLA D KHOSHABA

Active Sole Proprietor

MANUELLA D KHOSHABA is a Skilled Nursing Facility healthcare provider located in GLENDALE, Arizona. NPI 1396208955 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · GLENDALE, AZ

Registration Details

NPI Number
1396208955
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2019 (7.3218701648817 yrs)
Last Updated
Feb 3, 2021
License
013818 (AZ)
Sole Proprietor
Yes

Practice Information

Address
7201 W CAMINO SAN XAVIER
GLENDALE, AZ, 853083798
Browse AZ providers · Browse ZIP 85308
Phone
6237032748
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.