Organization
KMI CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MONTAGNA M.A (CO-OWNER)
(623) 561-1144
Entity
Organization
Contact information
Practice address
6630 W TONOPAH DR, GLENDALE, AZ 85308-6626
(623) 561-1144
(623) 561-0662
Mailing address
20280 N 59TH AVE, STE 115-439, GLENDALE, AZ 85308-6850
(623) 561-1144
(623) 561-0662
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
505388
AHCCCS
AZ
Enumeration date
04/14/2010
Last updated
04/14/2010
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