# KDC HOME HEALTH CARE SERVICES CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim HealthCare of Peoria AZ
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912743485
- **Authorized official:** GRISELDA KOVRIG (OWNER/PRESIDENT)
- **Authorized official phone:** (602) 830-3003

## Contact information

- **Practice address:** 13260 N 94TH DR STE 104, PEORIA, AZ 85381-4259
- **Practice address phone:** (602) 830-3003
- **Practice address fax:** (602) 830-1347
- **Mailing address:** 13260 N 94TH DR STE 104, PEORIA, AZ 85381-4259
- **Mailing address phone:** (602) 830-3003
- **Mailing address fax:** (602) 830-1347

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 10/03/2024