NPI 1295592368
Paradise Residential LLC
Practice location
- Address
- 132 Joffre St, Mobile, AL 36610-1729
- Phone
- (251) 550-4176
- Mailing address
- 3723 Swansea Dr, Mobile, AL 36608-1779
Authorised official
- Name
- Lakesha Moneke Thomas
- Title
- Executive Director
- Phone
- (251) 550-4176
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1295592368
- Entity type
- Organization
- NPI issued
- 4 Mar 2024
- Record last updated
- 4 Mar 2024
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.