Fred Edwards Iii in Buckeye - Day Training/habilitation Specialist
Fred Edwards Iii - NPI 1285788018
Fred Edwards Iii is a Day Training/habilitation Specialist in Buckeye, Arizona. Fred Edwards Iii practices all healthcare services and medical treatments related to Day Training/habilitation Specialist. The NPI Number for Fred Edwards Iii is 1285788018. The last update date is 2007-07-09.
Fred Edwards Iii's current location address is 23343 W Ashleigh Marie Dr, Buckeye, Arizona. You can contact this provider via phone number 6198714401. The mailing address for Fred Edwards Iii is 23343 W Ashleigh Marie Dr, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Edwards Iii |
|---|---|
| Address | 23343 W Ashleigh Marie Dr, Buckeye, Arizona |
| Phone Number | 6198714401 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285788018 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 23343 W Ashleigh Marie Dr |
|---|---|
| City | Buckeye |
| State | Arizona (AZ) |
| Post Code | 853266290 |
| Phone Number | 6198714401 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Day Training/habilitation Specialist |
|---|---|
| Taxonomy | 373H00000X |
| Licence No | 10294 |
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Definition: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 964058 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fred Edwards Iii by the Centers for Medicare & Medicaid Services?
The Fred Edwards Iii has been assigned the NPI (National Provider Identifier) 1285788018 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Fred Edwards Iii is located?
The Fred Edwards Iii is situated at the following address: 23343 W Ashleigh Marie Dr, Buckeye, AZ, 853266290.
What is the Fred Edwards Iii's area of specialization and corresponding taxonomy classification?
The Fred Edwards Iii's specialty field is Day Training/habilitation Specialist, and it falls under the taxonomy code 373H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1285788018 to Fred Edwards Iii?
The Fred Edwards Iii received its 1285788018 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information regarding Fred Edwards Iii, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fred Edwards Iii, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH