Kenmar Residential Service

NPI 1053489625 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1053489625
Enumeration Date 12/01/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM KENNETH WILLIAM
Position PRESIDENT
Phone (512) 336-0800
Fax (512) 336-0812
Practice Location
FM 3224 AND 108
SMILEY TX, 78159-1241, US
Phone (512) 336-0800
Fax (512) 336-0812
Business Location
13809 N HIGHWAY 183
STE. 425
AUSTIN TX, 78750-1241, US
Phone (512) 336-0800
Fax (512) 336-0812
Toxanomy
Taxonomy Code 320900000X
License State Texas
License Number 117230
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According to our database, Kenmar Residential Service NPI is 1053489625, taxonomy code is 320900000X and license number is 117230, license state is located at Texas. Kenmar Residential Service physically located at Fm 3224 And 108, Smiley TX, 78159-1241. NPI Number 1033115704 has the healthcare provider type.

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1053489625 NPI number is provided on an as is basis without warranty of any kind. 1053489625 is maintained by the National Plan & Provider Enumeration System. The contents of Kenmar Residential Service are for informational purposes only.