Provider Demographics
NPI:1154634392
Name:ADORA PROPERTY MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ADORA PROPERTY MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDUC
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:623-374-7774
Mailing Address - Street 1:12425 W. BELL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9002
Mailing Address - Country:US
Mailing Address - Phone:623-374-7774
Mailing Address - Fax:623-240-1110
Practice Address - Street 1:12425 W BELL RD
Practice Address - Street 2:STE 200
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9002
Practice Address - Country:US
Practice Address - Phone:623-374-7774
Practice Address - Fax:623-240-1110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MD24, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ124298Medicare UPIN