Organization
KIND HEARTS LLC
Active
Other names
Adult Developmental Home
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LYNNE BLACKBURN (OWNER)
(480) 340-3472
Entity
Organization
Contact information
Practice address
2969 E SHANNON ST, GILBERT, AZ 85295-8920
(480) 340-3472
Mailing address
2969 E SHANNON ST, GILBERT, AZ 85295-8920
(480) 340-3472
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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