Organization
KIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL KINN (OWNER)
(928) 775-2057
Entity
Organization
Contact information
Practice address
3050 N NAVAJO DR, SUITE 103, PRESCOTT VALLEY, AZ 86314-8663
(928) 775-2057
(928) 775-3701
Mailing address
3050 N NAVAJO DR, SUITE 103, PRESCOTT VALLEY, AZ 86314-8663
(928) 775-2057
(928) 775-3701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411582
—
AZ
Enumeration date
03/31/2009
Last updated
05/19/2014
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