Provider Demographics
NPI:1073375002
Name:KETTEYS EXCHANGE FOR CHILDREN AND WOMEN RESOURCES
Entity Type:Organization
Organization Name:KETTEYS EXCHANGE FOR CHILDREN AND WOMEN RESOURCES
Other - Org Name:KETTEYS EXCHANGE FOR CHILDREN AND WOMEN RESOURCES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMELIA K
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGOE OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-799-6148
Mailing Address - Street 1:7912 N 16TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-7985
Mailing Address - Country:US
Mailing Address - Phone:480-294-2507
Mailing Address - Fax:
Practice Address - Street 1:7001 N SCOTTSDALE RD # C-143
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3658
Practice Address - Country:US
Practice Address - Phone:602-799-6148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)