Organization
PARADISE CREEK HOMES
Active
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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