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Organization

COMPLETE CARE GROUP HOME

Active
Other names
Paradise Palms Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACEY CADAVAL DNP (OWNER/ADMINISTRATOR)
(702) 449-0122
Entity
Organization

Contact information

Practice address
2437 HIGH VISTA CIR, HENDERSON, NV 89014-3707
(702) 449-0122
Mailing address
1680 SOMBRERO DR, LAS VEGAS, NV 89169-2564

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518118850
NV
Enumeration date
03/14/2016
Last updated
03/14/2016
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