Organization
PARK GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM NAEUM (OWNER)
(623) 565-0010
Entity
Organization
Contact information
Practice address
348 S PARK GROVE LN, GILBERT, AZ 85296-1731
(623) 565-0010
(623) 565-0010
Mailing address
348 S PARK GROVE LN, GILBERT, AZ 85296-1731
(623) 565-0010
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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