Organization
KWD ENTERPRISE INC
Active
Other names
Home Care Assistance of Green Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH W DAVIS (PRESIDENT)
(520) 625-2050
Entity
Organization
Contact information
Practice address
1325 W DUVAL MINE RD STE 119, GREEN VALLEY, AZ 85614-5293
(520) 625-2050
Mailing address
1325 W DUVAL MINE RD STE 119, GREEN VALLEY, AZ 85614-5293
(520) 625-2050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L-18-03755
AZ
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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