TIMOTHY PAVLAKES

LAVEEN, AZ
NPI1053665984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: AZ  AL8784H)
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
-- TIMOTHY PAVLAKES
5133 W FAWN DR
LAVEEN, AZ 85339-2898
Phone number: 602-710-7166
Mailing Address
-- TIMOTHY PAVLAKES
5133 W FAWN DR
LAVEEN, AZ 85339-2898
Phone number: 602-710-7166
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