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Organization

KIMBERCO FUTURE LEADERS INC

Active
Parent organization
KIMBERCO FUTURE LEADERS INC
Other names
Future Leaders Healthcare
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIMBERCO FUTURE LEADERS INC
Authorized official
DR. KIMBERLY SHEDRICK JD (PRESIDENT)
(602) 774-1774
Entity
Organization

Contact information

Practice address
1021 S 7TH AVE, SUITE 102, PHOENIX, AZ 85007-3725
(800) 587-0332
Mailing address
6412 W FAWN DR, LAVEEN, AZ 85339-2773
(602) 774-1774

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
02/07/2009
Last updated
02/07/2009
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