# ICARE KIDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1578383386
- **Authorized official:** YEMISRACH MEKURIA ADEFRIS (ADMIN DIRECTOR)
- **Authorized official phone:** (913) 907-8154

## Contact information

- **Practice address:** 3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
- **Practice address phone:** (913) 907-8154
- **Mailing address:** 3360 E LAFAYETTE AVE, GILBERT, AZ 85298-9072
- **Mailing address phone:** (913) 907-8154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024