Organization
EDGEWOOD BULLHEAD CITY AZ01 LLC
Active
Organization
EDGEWOOD BULLHEAD CITY AZ01 LLC
Active
Other names
Avista Senior Living Joshua Springs
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DYBWAD (VP FINANCE/BUDGET)
(701) 738-2000
Entity
Organization
Contact information
Practice address
2995 DESERT SKY BLVD, BULLHEAD CITY, AZ 86442-8855
(928) 582-9271
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208-3238
(701) 738-2000
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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