# KINGDOM 1ST HOME CARE AGENCY

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

## Provider details

- **NPI number:** 1285479931
- **Authorized official:** PATRICE FINLEY (CEO)
- **Authorized official phone:** (612) 731-0707

## Contact information

- **Practice address:** 5150 N 99TH AVE, APT 2101, GLENDALE, AZ 85305-3022
- **Practice address phone:** (612) 731-0707
- **Mailing address:** 5150 N 99TH AVE, APT 2101, GLENDALE, AZ 85305-3022
- **Mailing address phone:** (612) 731-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/26/2024