Diamondback Level Iii Group Home Girls

LBN: La Paloma Family Services
Diamondback Level Iii Group Home Girls is an health care organization with primary practice located at 1654 N Rosemont Blvd , Tucson AZ 85712-4141. 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 T via phone (520) 750-9667.

Contact Information

Primary practice address
1654 N Rosemont Blvd Tucson AZ 85712-4141
Phone: (520) 750-9667
Fax: (520) 750-0056
Website:
Map and Directions
Authorized official contact:
Name: Bradley, David T
Phone: (520) 750-9667

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-1712 Arizona

Profile Details

NPI number 1700966231
LBN Legal business name La Paloma Family Services
DBA Doing business as Diamondback Level Iii Group Home Girls
Authorized official Bradley, David T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1700966231 NPPES
Arizona MEDICAID 964248

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