Kennett Residential Care Facility Ii Inc

NPI 1265559280 - Assisted Living Facility - 310400000X

NPI Details
NPI 1265559280
Enumeration Date 03/23/2007
Last Updated 07/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GINA DAWN GINA
Position OWNER PRESIDENT
Phone (573) 888-1201
Fax (573) 888-0114
Practice Location
919 S JACKSON ST
KENNETT MO, 63857-3803, US
Phone (573) 888-1201
Fax (573) 888-0114
Business Location
919 S JACKSON ST
KENNETT MO, 63857-3803, US
Phone (573) 888-1201
Fax (573) 888-0114
Toxanomy
Taxonomy Code 310400000X
License State Missouri
License Number 032637
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According to our database, Kennett Residential Care Facility Ii Inc NPI is 1265559280, taxonomy code is 310400000X and license number is 032637, license state is located at Missouri. Kennett Residential Care Facility Ii Inc physically located at 919 S Jackson St, Kennett MO, 63857-3803. NPI Number 1033115704 has the healthcare provider type.

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1265559280 NPI number is provided on an as is basis without warranty of any kind. 1265559280 is maintained by the National Plan & Provider Enumeration System. The contents of Kennett Residential Care Facility Ii Inc are for informational purposes only.