Paradise Creek Homes
Substance Abuse Rehabilitation Facility in San Tan Valley, AZ. Organization (NPI-2).
NPI number1104458090
StatusActive
Last updated in NPPESFeb 7, 2020
Details
- NPI
- 1104458090
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradise Creek Homes
- Organization subpart
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Feb 7, 2020
- Last updated
- Feb 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Paradise Creek Homes LLC (Doing Business As)
Practice location
42714 N Murphy AveSan Tan Valley, AZ 85140-9813
Phone 202-718-9939
Mailing address
10511 E Corbin AveMesa, AZ 85212
Phone 480-331-4160
Authorized official
Clovis Hermann Lawin
Ceo
2027189939
Is something wrong?
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Other Substance Abuse Rehabilitation Facility providers in San Tan Valley, AZ
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All 5 Substance Abuse Rehabilitation Facility providers in San Tan Valley · All 797 providers in San Tan Valley
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