- Facility Name
- EDGEWOOD KINGMAN AZ03 LLC
- Type / Classification
- Assisted Living Facility
- Address
- 3600 PETERSON RD, KINGMAN, AZ 86409
- Phone Number
- (928) 451-7951
- NPI Number
- 1366376683
- Authorized Official
- JOHN DYBWAD (VP Finance/Budget)
- Enumeration Date
- 2026-06-11