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Fred Edwards Iii
Day Training/Habilitation Specialist in Buckeye, Arizona
NPI 1285788018

Fred Edwards Iii is a Day Training/Habilitation Specialist based in Buckeye, AZ. Fred Edwards Iii practices in Buckeye, AZ. The NPI Number for Fred Edwards Iii is 1285788018 and holds a License No. 10294 (Arizona).

The current practice location address for Fred Edwards Iii is 23343 W Ashleigh Marie Dr, Buckeye, AZ and can be reached out via phone at 619-871-4401.

Location: 23343 W Ashleigh Marie Dr, Buckeye, AZ, 85326-6290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285788018
Provider Name
Fred Edwards Iii
Credential
Provider Entity Type
Individual
Gender
Male
Address
23343 W Ashleigh Marie Dr, Buckeye, AZ, 85326-6290
Phone Number
619-871-4401
Fax Number
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
964058 05 AZ
institution
Provider Business Practice Location Address Details
Address
23343 W Ashleigh Marie Dr
City
Buckeye
State
Arizona
Zip
85326-6290
Phone Number
619-871-4401
Fax Number
person
Provider Business Mailing Address Details
Address
23343 W Ashleigh Marie Dr
City
Buckeye
State
Arizona
Zip
85326-6290
Phone Number
619-871-4401
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
10294 (Arizona)
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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