Organization
PARADISE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA MONEKE THOMAS (EXECUTIVE DIRECTOR)
(251) 550-4176
Entity
Organization
Contact information
Practice address
132 JOFFRE ST, MOBILE, AL 36610-1729
(251) 550-4176
Mailing address
3723 SWANSEA DR, MOBILE, AL 36608-1779
(251) 344-2173
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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