Organization
BENCHMARK VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITUS KIMANI MWANGI (ADMINISTRATOR)
(858) 386-6705
Entity
Organization
Contact information
Practice address
4630 W FREMONT RD, LAVEEN, AZ 85339-4277
(858) 386-6705
(602) 603-3981
Mailing address
5625 W EUCLID AVE, LAVEEN, AZ 85339-5247
(858) 386-6705
(602) 603-3981
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6433
ADHS
AZ
Enumeration date
05/21/2021
Last updated
05/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us