Fairview Lii Group Home

LBN: La Paloma Family Services
Fairview Lii Group Home is an health care organization with primary practice located at 870 W Miracle Mile Bldg 2 , Tucson AZ 85705-3708. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. La Paloma Family Services can be contacted via phone (520) 750-9667, or through Bradley, David via phone (520) 750-9667.

Contact Information

Primary practice address
870 W Miracle Mile Bldg 2 Tucson AZ 85705-3708
Phone: (520) 750-9667
Fax: (520) 750-0056
Website:
Map and Directions
Authorized official contact:
Name: Bradley, David
Phone: (520) 750-9667

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH3029 Arizona

Profile Details

NPI number 1518142033
LBN Legal business name La Paloma Family Services
DBA Doing business as Fairview Lii Group Home
Authorized official Bradley, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518142033 NPPES
Arizona MEDICAID APPLIED

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