Provider Demographics
NPI:1457972416
Name:MCKENZIE CARE SOLUTIONS
Entity Type:Organization
Organization Name:MCKENZIE CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-649-5559
Mailing Address - Street 1:2220 W MISSION LN APT 1097
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2890
Mailing Address - Country:US
Mailing Address - Phone:602-649-5559
Mailing Address - Fax:
Practice Address - Street 1:2155 W PINNACLE PEAK RD STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1203
Practice Address - Country:US
Practice Address - Phone:602-649-5559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care