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Mulligan'S Manor

Mulligan'S Manor is a healthcare organization registered as Foster Care Agency in Tempe, AZ, holding Type 2 (organization) NPI 1174903173 since 2015. The authorized official on file is Jennifer Diaz, Executive Director.

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NPI 1174903173
Entity type Organization (Type 2)
Legal business name Mulligan'S Manor
Practice address 4701 S. LAKESHORE DRIVE # 1, Tempe, AZ, 85282
Phone 4804552601
Enumeration date 2015-06-04
Last updated in NPPES 2022-07-21

Authorized official

Name Jennifer Diaz
Title Executive Director
Phone 4804552601

Taxonomy & classification

Taxonomy code Specialty Primary License State
253J00000X Foster Care Agency Primary AZ
Copy-ready billing details
Provider: Mulligan'S Manor
NPI: 1174903173
Taxonomy: 253J00000X (Foster Care Agency)
Address: 4701 S. LAKESHORE DRIVE # 1, Tempe, AZ, 85282

Verify this record

Cross-check NPI 1174903173 against the authoritative CMS record: view Mulligan'S Manor on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Mulligan'S Manor located?
The practice location on file with NPPES is in Tempe, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.