ICONIC HUMAN DESIGN, LLC is a meals in Cornville, AZ. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. ICONIC HUMAN DESIGN, LLC NPI is 1689563405. The provider is registered as an organization entity type.
The provider's business location address is:
180 S MERRITT RANCH RD CORNVILLE, AZ ZIP 86325-733 Phone: (928) 848-7388
The provider's authorized official is Laveena Brianne Archers . The authorized official title is Member Manager and has the following contact phone number (928) 948-7388.
The enumeration date for this NPI number is 6/30/2025 and was last updated on 6/30/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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