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CANDICE ANDERSON NPI 1699804013


NPI Information

NPI: 1699804013
Provider Name: CANDICE ANDERSON

Doing Business As: DESERT WILLOW ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1091 E KENT PL
CHANDLER, AZ
ZIP 85225
Phone: (480) 634-6290
Get Directions

CANDICE ANDERSON is an assisted living facility in Chandler, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CANDICE ANDERSON NPI is 1699804013. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Willow Assisted Living.

The provider's business location address is:

1091 E KENT PL
CHANDLER, AZ
ZIP 85225-621
Phone: (480) 634-6290
Fax: (480) 634-6294

The provider's authorized official is Candice Lee Anderson .
The authorized official title is Owner and has the following contact phone number (480) 239-1768.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 6/13/2008.


Taxonomy Codes

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALH 6059ARIZONAYes

What is NPI?

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: 4/28/2024

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