CERBAT GUEST HOME INC. NPI 1982769907

NPI Information

CERBAT GUEST HOME INC. is an adult care home custodial care facility in Kingman, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CERBAT GUEST HOME INC. NPI is 1982769907. The provider is registered as an organization entity type.

The provider's business location address is:

2364 E CARVER AVE
KINGMAN, AZ
ZIP 86409-224
Phone: (928) 757-3989

The provider's authorized official is Sandra Darlene Schmitz .
The authorized official title is Secretary,owner,manager and has the following contact phone number (928) 753-3731.

The CLIA number assigned to this NPI record is 03D1062313 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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