# KPC PROMISE HOSPITAL OF PHOENIX LLC

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

## Provider details

- **NPI number:** 1770147118
- **Authorized official:** WILLIAM THOMAS (SECRETARY)
- **Authorized official phone:** (951) 987-8100

## Contact information

- **Practice address:** 433 E 6TH ST, MESA, AZ 85203-7104
- **Practice address phone:** (480) 427-3000
- **Mailing address:** 900 N FEDERAL HWY STE 350, BOCA RATON, FL 33432-2754
- **Mailing address phone:** (561) 869-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 11/01/2021