Organization
PARAGON HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE KIBUKAMUSOKE (DIRECTOR)
(602) 359-1706
Entity
Organization
Contact information
Practice address
9227 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
(602) 359-1706
Mailing address
9227 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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