Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Place Declarant

Organization Hearing Aid Equipment · NPI 1487896114

Park Place Declarant is a Hearing Aid Equipment in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

2105 McCulloch Blvd N #2
Lake Havasu City, AZ 86403-6772
Phone: (702) 807-7931
Fax: (702) 398-3757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing Aid Equipment (primary) Taxonomy 332S00000X · Licence HAD5806 (AZ)

Record details

NPI number1487896114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Kelly — Owner · (702) 807-7931
Other names Fabulous Hearing
NPI enumeratedMarch 26, 2009
Last updated in NPPESMarch 26, 2009
Mailing addressPo Box 224, Logandale, NV 89021-0224

Other providers in Lake Havasu City