# KINGDOM 1ST HEALTH AMD HUMAN SERVICES

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

## Provider details

- **NPI number:** 1790346633
- **Authorized official:** MISS SHIRLEY LLORRAINE TEMPLE NURSE PRACTITIONER (PRESIDENT)
- **Authorized official phone:** (623) 216-9620

## Contact information

- **Practice address:** 8733 W SHERIDAN ST, PHOENIX, AZ 85037-3658
- **Practice address phone:** (623) 216-9620
- **Mailing address:** 8733 W SHERIDAN ST, PHOENIX, AZ 85037-3658
- **Mailing address phone:** (623) 216-9620

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 06/21/2019