NPI 1245945377

Pa-Vee Group Home LLC

Organisation Psychiatric Residential Treatment Facility Laveen, AZ

Practice location

Address: 7909 S 41st Dr, Laveen, AZ 85339-2543
Phone: (602) 675-1130
Fax: (602) 314-5740

Authorised official

Name: Jango Massalay
Title: Director
Phone: (602) 675-1130

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Arizona →

Registry record

NPI: 1245945377
Entity type: Organization
NPI issued: 23 Jan 2023
Record last updated: 23 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.