Organization
BIRDS OF PARADISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA RODRIGUEZ (OWNER)
(602) 545-5050
Entity
Organization
Contact information
Practice address
7110 W PUEBLO AVE, PHOENIX, AZ 85043-2035
(623) 474-7520
(623) 936-1180
Mailing address
7110 W PUEBLO AVE, PHOENIX, AZ 85043-2035
(623) 474-7520
(623) 936-1180
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9556H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083929
—
AZ
Enumeration date
02/29/2016
Last updated
02/29/2016
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