Khadjenoury LLC
Organization Active NPI Community/Behavioral Health Agency · Page, AZ
NPI 1508097049 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1508097049
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- KHADJENOURY LLC
- Practice address
- 1801 N Navajo Drive
Lake View Elementary
Page, AZ 86040 - Phone
- (520) 907-6890
- NPI assigned
- Jul 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Siamak Khadjenoury
- Title
- Ceo
- Phone
- (520) 907-6890
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Edventures Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1801 N Navajo Drive
Lake View Elementary
Page, AZ 86040
Mailing address
8848 Willow Hills Court
Sandy, UT 84093
Phone (520) 907-6890
Other names
- edventures group
Other providers in Page, AZ
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- Kiera Keisling-Penrod
- Matthew Dixon Kelly
- Patricia Martin Kent
- Aaron Knudson
- Melissa Lynn Kolnik
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- Raymond Kwok
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All providers in Page, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. 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.