Organization
KINGDOM 1ST HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE FINLEY (CEO)
(612) 731-0707
Entity
Organization
Contact information
Practice address
5150 N 99TH AVE, APT 2101, GLENDALE, AZ 85305-3022
(612) 731-0707
Mailing address
5150 N 99TH AVE, APT 2101, GLENDALE, AZ 85305-3022
(612) 731-0707
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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