EDGEWOOD KINGMAN AZ03 LLC

KINGMAN, AZ
NPI1366376683
Doing Business AsAVISTA SENIOR LIVING WHITE CLIFFS
Entity TypeOrganization
Authorized ContactJOHN DYBWAD
VP Finance/Budget
701-738-2000
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2026-06-11
Last Update Date2026-06-11
Business Address
EDGEWOOD KINGMAN AZ03 LLC
3600 PETERSON RD
KINGMAN, AZ 86409-3276
Phone number: 928-451-7951
Mailing Address
EDGEWOOD KINGMAN AZ03 LLC
PO BOX 13238
GRAND FORKS, ND 58208-3238
Phone number: 701-738-2000