NPI 1518312206

Hk Kasio LLC

Organisation Adult Care Home Facility Avondale, AZ

Practice location

Address: 12002 W Sheridan St, Avondale, AZ 85392-3078
Phone: (602) 487-6389
Fax: (602) 997-3205

Authorised official

Name: Husnul Khoirodah Bocchino
Title: Owner
Phone: (602) 487-6389

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AL9839H (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1518312206
Entity type: Organization
NPI issued: 30 Apr 2016
Record last updated: 30 Apr 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.