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Harold Kilgore
Child Mental Illness Respite Care in Queen Creek, Arizona
NPI 1972163293

Harold Kilgore is a Child Mental Illness Respite Care based in Queen Creek, AZ and is specialized in Respite Care, Mental Illness, Child. Harold Kilgore practices in Queen Creek, AZ. The NPI Number for Harold Kilgore is 1972163293 and holds a License No. 7470789 (Arizona).

The current practice location address for Harold Kilgore is 3734 E Longhorn St, Queen Creek, AZ and can be reached out via phone at 602-321-4154.

Location: 3734 E Longhorn St, Queen Creek, AZ, 85140-4303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972163293
Provider Name
Harold Kilgore
Credential
Provider Entity Type
Individual
Gender
Male
Address
3734 E Longhorn St, Queen Creek, AZ, 85140-4303
Phone Number
602-321-4154
Fax Number
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7470789 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
3734 E Longhorn St
City
Queen Creek
State
Arizona
Zip
85140-4303
Phone Number
602-321-4154
Fax Number
person
Provider Business Mailing Address Details
Address
3734 E Longhorn St
City
Queen Creek
State
Arizona
Zip
85140-4303
Phone Number
602-321-4154
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
7470789 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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