# MILLIES PARADISE HOMES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114101292
- **Authorized official:** MRS. MILLIE ANN SMITH (OWNER)
- **Authorized official phone:** (707) 554-4005

## Contact information

- **Practice address:** 312 DONCASTER DR, VALLEJO, CA 94590
- **Practice address phone:** (707) 554-4005
- **Practice address fax:** (707) 554-0604
- **Mailing address:** 1530 SOLANO AVE, VALLEJO, CA 94590-5761
- **Mailing address phone:** (707) 554-4005
- **Mailing address fax:** (707) 554-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 010000301 | CA | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 10/15/2014