Individual provider · Type 1 NPI

Phillip Archie Edwards

Day Training/Habilitation Specialist · Santa Rosa, CA

NPI number 1063989655 Active

Practice location

1120 Gordon Ln
Santa Rosa, CA 95404-5636

Call (707) 527-3249 Map

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1063989655

Phillip Archie Edwards's National Provider Identifier is 1063989655, issued on Nov 1, 2018. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 5, 2025.