Organization
K ANB B SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GAIL ADAMS LPN (OWNER)
(623) 337-2264
Entity
Organization
Contact information
Practice address
23837 W WAYLAND DR, BUCKEYE, AZ 85326-7020
(623) 337-2264
Mailing address
51 E MONROE AVE UNIT 1122, BUCKEYE, AZ 85326-7544
(623) 337-2264
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q09202014291
DDD ARIZONA
AZ
Enumeration date
09/28/2020
Last updated
09/28/2020
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