Organization
PARADISE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RICHARD MOYLAN RN (ADMINISTRATOR)
(671) 647-4004
Entity
Organization
Contact information
Practice address
800 S MARINE CORP DR, STE A2, TAMUNING, GU 96913
(671) 647-4004
(671) 647-4006
Mailing address
PO BOX 217787, GMF BARRIGADA, GU 96921
(671) 647-4004
(671) 647-4006
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
706386
GU
332BN1400X
Nursing Facility Supplies (DME)
Primary
0716774
GU
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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