# KIDDES CROWNED CARE LLC

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

## Provider details

- **NPI number:** 1851103451
- **Authorized official:** MRS. ASHLEE LAUREN KIDDE (OWNER)
- **Authorized official phone:** (602) 571-8563

## Contact information

- **Practice address:** 44408 W PALO ALISO WAY, MARICOPA, AZ 85138-3467
- **Practice address phone:** (602) 571-8563
- **Mailing address:** 1301 N CENTRAL AVE SUITE 183, PHOENIX, AZ 85012
- **Mailing address phone:** (602) 571-8563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2025
- **Last updated:** 01/22/2025