# KC'S HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1699941898
- **Authorized official:** MR. KERRY ALLEN HALCOMB PHYSICAL THERAPY (PRESIDENT/CEO)
- **Authorized official phone:** (602) 283-4089

## Contact information

- **Practice address:** 500 W SAVAGE ST, 0002, WICKENBURG, AZ 85390-4235
- **Practice address phone:** (928) 684-2303
- **Practice address fax:** (928) 684-2369
- **Mailing address:** 20612 N CAVE CREEK RD, F151, PHOENIX, AZ 85024-4440
- **Mailing address phone:** (602) 283-4089
- **Mailing address fax:** (602) 283-4498

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 08/04/2008