Whispering Waters LLC
Organization Active NPI Adult Care Home Facility · Youngtown, AZ
NPI 1144360512 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1144360512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- WHISPERING WATERS LLC
- Practice address
- 11596 W Purdue Ave
Youngtown, AZ 85363-1732 - Phone
- (623) 388-4647
- Fax
- (623) 266-9680
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Lashanna D Roe
- Title
- Owner
- Phone
- (623) 570-1521
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | ALH5220 | AZ | |
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
11596 W Purdue Ave
Youngtown, AZ 85363-1732
Mailing address
11596 W Purdue Ave
Youngtown, AZ 85363-1732
Phone (623) 388-4647
Other names
- LaShanna Roe
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All providers in Youngtown, AZ · Adult Care Home Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.