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Organization
ICARE KIDIATRIC THERAPY LLC
Active
Organization
ICARE KIDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEMISRACH MEKURIA ADEFRIS (ADMIN DIRECTOR)
(913) 907-8154
Entity
Organization
Contact information
Practice address
3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
(913) 907-8154
Mailing address
3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
(913) 907-8154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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