MCLENDON MANOR ADVOCACY LLC NPI 1164169256

NPI Information

NPI: 1164169256
Provider Name: MCLENDON MANOR ADVOCACY LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4577 N 17TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (623) 666-3673
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MCLENDON MANOR ADVOCACY LLC is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MCLENDON MANOR ADVOCACY LLC NPI is 1164169256. The provider is registered as an organization entity type.

The provider's business location address is:

4577 N 17TH AVE
PHOENIX, AZ
ZIP 85015-815
Phone: (623) 666-3673

The provider's authorized official is Shante M Mclendon .
The authorized official title is Owner and has the following contact phone number (623) 666-3673.

The enumeration date for this NPI number is 5/19/2022 and was last updated on 7/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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