Organization
KINGDOM WOMEN LLC
Active
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
Update your record
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