Organization
GRANVILLE ASSISTED LIVING - PARADISE RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ANTHONY MARTIN MASTER'S DEGREE (OWNER)
(626) 464-4379
Entity
Organization
Contact information
Practice address
5420 N DOLAN CT, PRESCOTT VALLEY, AZ 86314-6753
(626) 464-4379
Mailing address
5420 N DOLAN CT, PRESCOTT VALLEY, AZ 86314-6753
(626) 464-4379
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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