Getaweru, Lyddia

Getaweru, Lyddia is an sole proprietor health care provider with primary practice located at 2767 W Peggy Dr , Queen Creek AZ 85142-6686. She recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Transportation Services / Transportation Broker, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is her primary health care specialty. Getaweru, Lyddia can be contacted via phone (480) 656-5357.

Contact Information

Primary practice address
2767 W Peggy Dr Queen Creek AZ 85142-6686
Phone: (480) 656-5357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X BH6339 Arizona
Transportation Services / Transportation Broker 347E00000X Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH6339 Arizona

Profile Details

NPI number 1720698509
LBN Legal business name Getaweru, Lyddia
Credentials MBA, LNHA, ALM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2020
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720698509 NPPES
Arizona MEDICAID BH6339

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