Organization
PARADISE CREEK HOMES
Active
Other names
Paradise creek homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLOVIS HERMANN LAWIN (CEO)
(202) 718-9939
Entity
Organization
Contact information
Practice address
42714 N MURPHY AVE, SAN TAN VALLEY, AZ 85140-9813
(202) 718-9939
Mailing address
10511 E CORBIN AVE, MESA, AZ 85212
(480) 331-4160
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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