NPI 1477060341
Park Grove LLC
Practice location
- Address
- 348 S Park Grove Ln, Gilbert, AZ 85296-1731
- Phone
- (623) 565-0010
- Fax
- (623) 565-0010
Authorised official
- Name
- Reem Naeum
- Title
- Owner
- Phone
- (623) 565-0010
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1477060341
- Entity type
- Organization
- NPI issued
- 2 Jan 2018
- Record last updated
- 2 Jan 2018
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.