Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY PAVLAKES
Active Sole ProprietorTIMOTHY PAVLAKES is a Assisted Living Facility healthcare provider located in LAVEEN, Arizona. NPI 1053665984 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LAVEEN, AZ
Registration Details
- NPI Number
- 1053665984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2012 (13.81114486155 yrs)
- Last Updated
- Oct 30, 2012
- License
-
AL8784H (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5133 W FAWN DRLAVEEN, AZ, 853392898Browse AZ providers · Browse ZIP 85339
- Phone
- 6027107166
- Fax
- 6024412553
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.