Latesha Edmon
Latesha Edmon is an Emotionally Disturbed Childrens' Residential Treatment Facility in Laveen, Arizona. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
6519 W Branham LnLaveen, AZ 85339-2723
Phone: (815) 514-8647
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1770398638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2025 |
| Last updated in NPPES | February 10, 2025 |
| Certification date | February 9, 2025 |
| Mailing address | 22388 W La Vista Cir, Buckeye, AZ 85326-3971 |
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