Individual provider · Type 1 NPI
Timothy Pavlakes
Adult Care Home Facility · Laveen, AZ
NPI number
1053665984
Active
Practice location
5133 W Fawn Dr
Laveen, AZ 85339-2898
Fax (602) 441-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL8784H (AZ) |
Adult Care Home Facility: 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.
About NPI 1053665984
Timothy Pavlakes's National Provider Identifier is 1053665984, issued on Oct 30, 2012. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Laveen, AZ. The record was last updated on Oct 30, 2012.