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Organization

KKC SOUTHWEST, LLC

Active
Parent organization
HOME INSTEAD
Other names
Home Instead
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOME INSTEAD
Authorized official
KELLY CORNELIUS (OWNER)
(602) 603-1725
Entity
Organization

Contact information

Practice address
1430 E MISSOURI AVE STE 280, PHOENIX, AZ 85014-2490
(602) 603-1725
(602) 603-1912
Mailing address
1430 E MISSOURI AVE STE 280, PHOENIX, AZ 85014-2490
(602) 603-1725
(602) 603-1912

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/09/2023
Last updated
02/09/2023
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