Organization
KINGS PASSION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KEIFALA SAMAH (ADMINISTRATOR)
(623) 225-2723
Entity
Organization
Contact information
Practice address
2356 N SAND HILLS CT, CASA GRANDE, AZ 85122-6664
(632) 225-2723
Mailing address
2367 E OLIVINE RD, SAN TAN VALLEY, AZ 85143-4907
(623) 225-2723
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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