1217 Kenwood LLC
1217 Kenwood LLC is an Assisted Living Facility in Mesa, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1217 E Kenwood StMesa, AZ 85203
Phone: (480) 646-2414
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1982464095 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 1217 Kenwood LLC |
| Authorized official | Ladonna Edgington — Owner/Operator · (480) 646-2414 |
| Other names | Minnie Lee'S Senior Home Care |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | September 20, 2024 |
| Certification date | September 20, 2024 |
| Mailing address | 1217 E Kenwood St, Mesa, AZ 85203 |
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