Kenmar Residential Services

NPI 1063589141 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1063589141
Enumeration Date 11/30/2006
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
1603 GREYSON DR
ROUND ROCK TX, 78664-3217, 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 115945
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According to our database, Kenmar Residential Services NPI is 1063589141, taxonomy code is 320900000X and license number is 115945, license state is located at Texas. Kenmar Residential Services physically located at 1603 Greyson Dr, Round Rock TX, 78664-3217. NPI Number 1033115704 has the healthcare provider type.

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1063589141 NPI number is provided on an as is basis without warranty of any kind. 1063589141 is maintained by the National Plan & Provider Enumeration System. The contents of Kenmar Residential Services are for informational purposes only.