Organization
KINGDOM 1ST HEALTH AMD HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHIRLEY LLORRAINE TEMPLE NURSE PRACTITIONER (PRESIDENT)
(623) 216-9620
Entity
Organization
Contact information
Practice address
8733 W SHERIDAN ST, PHOENIX, AZ 85037-3658
(623) 216-9620
Mailing address
8733 W SHERIDAN ST, PHOENIX, AZ 85037-3658
(623) 216-9620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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