Organization
ALPINE VILLA LLC
Active
Organization
ALPINE VILLA LLC
Active
Other names
Alpine Villa Paradise
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GLADE MAUGHAN (ADMINISTRATOR)
(602) 292-2010
Entity
Organization
Contact information
Practice address
4610 W PARADISE DR, GLENDALE, AZ 85304-3029
(602) 292-2010
Mailing address
8845 W POTTER DR, PEORIA, AZ 85382-6428
(602) 292-2010
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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