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Shanon T Gibbs
Assisted Living Facility in Kingman, Arizona
NPI 1518721281

Shanon T Gibbs is an Assisted Living Facility based in Phoenix, AZ. Shanon T Gibbs practices in Kingman, AZ. The NPI Number for Shanon T Gibbs is 1518721281 and holds a License No. AL12844C (Arizona).

The current practice location address for Shanon T Gibbs is 2364 Carver Ave, Kingman, AZ and can be reached out via phone at 928-757-3989 and via fax at 928-692-0398.

Location: 2364 Carver Ave, Kingman, AZ, 85012-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518721281
Provider Name
Shanon T Gibbs
Credential
Provider Entity Type
Individual
Gender
Male
Address
2364 Carver Ave, Kingman, AZ, 85012-4202
Phone Number
928-757-3989
Fax Number
928-692-0398
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2364 Carver Ave
City
Kingman
State
Arizona
Zip
86409
Phone Number
928-757-3989
Fax Number
928-692-0398
person
Provider Business Mailing Address Details
Address
2364 Carver Ave
City
Kingman
State
Arizona
Zip
86409
Phone Number
928-757-3989
Fax Number
928-692-0398
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12844C (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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