# KINDRED HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174394621
- **Authorized official:** AIMEE WADE (CEO)
- **Authorized official phone:** (602) 526-6811

## Contact information

- **Practice address:** 938 N BIRCH ST, GILBERT, AZ 85233-3300
- **Practice address phone:** (602) 526-6811
- **Mailing address:** 1057 N MONTEREY ST, GILBERT, AZ 85233-2653
- **Mailing address phone:** (602) 526-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024
