CONNIE EDMONDS NPI 1710604210

NPI Information

NPI: 1710604210
Provider Name: CONNIE EDMONDS
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
31392 N SUNFLOWER WAY
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 676-3513
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Connie Edmonds is an assisted living facility in San Tan Valley, 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. Connie Edmonds NPI is 1710604210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31392 N SUNFLOWER WAY
SAN TAN VALLEY, AZ
ZIP 85143-330
Phone: (480) 676-3513

The enumeration date for this NPI number is 10/25/2022 and was last updated on 10/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

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: 5/5/2024

NPI Synchronization or Removal

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