Organization
KC'S HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY ALLEN HALCOMB P.T. (PRESIDENT/CEO)
(602) 283-4089
Entity
Organization
Contact information
Practice address
20612 N CAVE CREEK RD # F151, PHOENIX, AZ 85024-4440
(602) 283-4089
(602) 283-4498
Mailing address
20612 N CAVE CREEK RD # F151, PHOENIX, AZ 85024-4440
(602) 283-4089
(602) 283-4498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920795
—
AZ
Enumeration date
05/18/2006
Last updated
02/18/2011
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