MEDICARE: COWANDA ANN TOWNSEND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency
2	385HR2055X	Child Mental Illness Respite Care

General Provider Information

NPI Number	:	1689523706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COWANDA ANN TOWNSEND

Provider Business Mailing Address
First Line	:	23839 W MAGNOLIA DR
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-3591
Country	:	US
Telephone Number	:	323-762-6535
Fax Number	:

Provider Business Practice Location Address
First Line	:	23839 W MAGNOLIA DR
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-3591
Country	:	US
Telephone Number	:	323-762-6535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	02/24/2026

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Directions to “ COWANDA ANN TOWNSEND ” Practice Location

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