Nyagatare Manzi, Edmond

Nyagatare Manzi, Edmond is an sole proprietor health care provider with primary practice located at 2906 W Huntington Dr , Phoenix AZ 85041-4450. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Nyagatare Manzi, Edmond can be contacted via phone (602) 394-5954.

Contact Information

Primary practice address
2906 W Huntington Dr Phoenix AZ 85041-4450
Phone: (602) 394-5954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH8008 Arizona

Profile Details

NPI number 1588356299
LBN Legal business name Nyagatare Manzi, Edmond
Credentials LUX SPEI HOMES, LLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2023
Last updated Sep 4th, 2023 - about 2 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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