Whalio Doctors

NPI 1083164149

K & C Ventures LLC

Organisation Developmentally Disabled Services Day Training Agency Phoenix, AZ

Practice location

Address
4013 E Broadway Road, Phoenix, AZ 85040
Phone
(602) 559-8376
Mailing address
9920 S Rural Rd #108-68, Tempe, AZ 85284-4100

Authorised official

Name
Christina Smith
Title
Ceo
Phone
(602) 559-8376

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X

Registry record

NPI
1083164149
Entity type
Organization
NPI issued
12 Oct 2016
Record last updated
12 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.