Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewood Kingman AZ03 LLC

Organization Assisted Living Facility · NPI 1366376683

Edgewood Kingman AZ03 LLC is an Assisted Living Facility in Kingman, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 Peterson Rd
Kingman, AZ 86409-3276
Phone: (928) 451-7951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1366376683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Finance/Budget · (701) 738-2000
Other names Avista Senior Living White Cliffs
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

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