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Timothy Pavlakes
Adult Care Home Facility in Laveen, Arizona
NPI 1053665984

Timothy Pavlakes is an Adult Care Home Facility based in Laveen, AZ and is specialized in Adult Care Home. Timothy Pavlakes practices in Laveen, AZ. The NPI Number for Timothy Pavlakes is 1053665984 and holds a License No. AL8784H (Arizona).

The current practice location address for Timothy Pavlakes is 5133 W Fawn Dr, Laveen, AZ and can be reached out via phone at 602-710-7166 and via fax at 602-441-2553.

Location: 5133 W Fawn Dr, Laveen, AZ, 85339-2898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053665984
Provider Name
Timothy Pavlakes
Credential
Provider Entity Type
Individual
Gender
Male
Address
5133 W Fawn Dr, Laveen, AZ, 85339-2898
Phone Number
602-710-7166
Fax Number
602-441-2553
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5133 W Fawn Dr
City
Laveen
State
Arizona
Zip
85339-2898
Phone Number
602-710-7166
Fax Number
602-441-2553
person
Provider Business Mailing Address Details
Address
5133 W Fawn Dr
City
Laveen
State
Arizona
Zip
85339-2898
Phone Number
602-710-7166
Fax Number
602-441-2553
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL8784H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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