PARADISE LODGE LLC NPI 1093386450

NPI Information

PARADISE LODGE LLC is a substance abuse rehabilitation facility in Maricopa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PARADISE LODGE LLC NPI is 1093386450. The provider is registered as an organization entity type.

The provider's business location address is:

43858 W LINDGREN DR
MARICOPA, AZ
ZIP 85138-523
Phone: (520) 246-5998
Fax: (520) 246-5994

The provider's authorized official is Ernest Kwesi Amponsah .
The authorized official title is Administrator and has the following contact phone number (224) 595-0112.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 7/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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