Kathleens Residential Inc

NPI 1285793984 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1285793984
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DENNIS C DENNIS
Position ADMINISTRATOR
Phone (712) 852-2267
Fax (712) 852-2362
Practice Location
1505 E 5TH ST
ENIMETSBURG IA, 50536-1403, US
Phone (712) 852-2267
Fax (712) 852-2362
Business Location
1505 E 5TH ST
PO BOX 279
ENIMETSBURG IA, 50536-1403, US
Phone (712) 852-2267
Fax (712) 852-2362
Toxanomy
Taxonomy Code 315P00000X
License State Iowa
License Number 740018
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According to our database, Kathleens Residential Inc NPI is 1285793984, taxonomy code is 315P00000X and license number is 740018, license state is located at Iowa. Kathleens Residential Inc physically located at 1505 E 5th St, Enimetsburg IA, 50536-1403. NPI Number 1033115704 has the healthcare provider type.

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1285793984 NPI number is provided on an as is basis without warranty of any kind. 1285793984 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleens Residential Inc are for informational purposes only.