Organization
KSSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN MITCHELL (OWNER/PRESIDENT)
(480) 941-0200
Entity
Organization
Contact information
Practice address
4430 N. CIVIC CENTER PLAZA #101, SCOTTSDALE, AZ 85251
(480) 941-0200
(480) 941-0271
Mailing address
4430 N. CIVIC CENTER PLAZA #101, SCOTTSDALE, AZ 85251
(480) 941-0200
(480) 941-0271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213617
—
AZ
05
—
797045
—
AZ
Enumeration date
04/06/2007
Last updated
02/05/2015
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