Organization
PARADISE CARE HOMES LLC
Active
Other names
Paradise 1 at Prescott
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REED (CEO)
(928) 541-1514
Entity
Organization
Contact information
Practice address
1812 WILLOW CREEK RD, PRESCOTT, AZ 86301-1157
(928) 541-1514
(928) 541-1514
Mailing address
1812 WILLOW CREEK RD, PRESCOTT, AZ 86301-1157
(928) 541-1514
(928) 541-1514
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-4989
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123293
AHCCCS
AZ
Enumeration date
09/27/2006
Last updated
08/22/2020
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