Organization
KINGDOM WOMEN LLC
Active
Other names
PRECIOUS JEWELS HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRRIE HAYES (COOWNER)
(816) 377-4224
Entity
Organization
Contact information
Practice address
8311 W FOREST GROVE AVE, TOLLESON, AZ 85353-3628
(816) 377-4224
(602) 687-9274
Mailing address
4941 W DESERT LN, LAVEEN, AZ 85339-7365
(816) 377-4224
(602) 687-9274
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10150H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225857
AHCCCS MANAGE CARE NUMBER
AZ
Enumeration date
04/12/2017
Last updated
04/12/2017
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