OrganizationActive
1217 Kenwood LLC
NPI 1982464095 · Assisted Living Facility · Mesa, AZ
Provider details
- NPI number
- 1982464095
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- 1217 Kenwood LLC
- Authorized official
- Ladonna Edgington, Owner/Operator
Mailing address
1217 E Kenwood St
Mesa, AZ 85203
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.