| Paradise Lodge Llc | |
|
18860 N Maricopa Rd Maricopa AZ 85139-1817 | |
| (122) 459-5011 | |
| Not Available |
| Full Name | Paradise Lodge Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18860 N Maricopa Rd, Maricopa, Arizona |
| Authorized Official Name and Position | Ernest K Amponsah (ADMINISTRATOR) |
| Authorized Official Contact | 2245950112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Lodge Llc 43858 W Lindgren Dr Maricopa AZ 85138-5523 Ph: (224) 595-0112 | Paradise Lodge Llc 18860 N Maricopa Rd Maricopa AZ 85139-1817 Ph: (122) 459-5011 |
| NPI Number | 1952177115 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952177115 | NPI | - | NPPES |
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