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1811694912
KKC SOUTHWEST, LLC
PHOENIX, AZ
NPI
1811694912
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Entity Type
Organization
Authorized Contact
KELLY CORNELIUS
Owner
602-603-1725
Organization Subpart ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
KKC SOUTHWEST, LLC
1430 E MISSOURI AVE STE 280
PHOENIX, AZ 85014-2490
Phone number: 602-603-1725
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Mailing Address
KKC SOUTHWEST, LLC
1430 E MISSOURI AVE STE 280
PHOENIX, AZ 85014-2490
Phone number: 602-603-1725
Copy
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