Organization
PR & A GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL RACHO (CEO)
(978) 996-6074
Entity
Organization
Contact information
Practice address
17320 N LAGO DR, MARICOPA, AZ 85138-1877
(978) 996-6074
Mailing address
17320 N LAGO DR, MARICOPA, AZ 85138-1877
(978) 996-6074
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH7015
AZDHS
AZ
Enumeration date
09/28/2021
Last updated
09/28/2021
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