Paradise Lodge LLC
Paradise Lodge LLC is a Mental Illness Community Based Residential Treatment Facility in Maricopa, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
43858 W Lindgren DrMaricopa, AZ 85138-5523
Phone: (520) 246-5998
Fax: (520) 246-5994
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
Record details
| NPI number | 1093386450 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ernest Amponsah — Administrator · (224) 595-0112 |
| NPI enumerated | July 7, 2021 |
| Last updated in NPPES | July 7, 2021 |
| Certification date | July 7, 2021 |
| Mailing address | 43858 W Lindgren Dr, Maricopa, AZ 85138-5523 |
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