King Long Term Care Facility

NPI 1013130194 - Assisted Living Facility - 310400000X

NPI Details
NPI 1013130194
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARRIE CARRIE
Position CEO
Phone (816) 924-5017
Fax
Practice Location
2836 BENTON BLVD
KANSAS CITY MO, 64128-1140, US
Phone (816) 924-5017
Fax
Business Location
2836 BENTON BLVD
KANSAS CITY MO, 64128-1140, US
Phone (816) 924-5017
Fax
Toxanomy
Taxonomy Code 310400000X
License State Missouri
License Number 031840
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According to our database, King Long Term Care Facility NPI is 1013130194, taxonomy code is 310400000X and license number is 031840, license state is located at Missouri. King Long Term Care Facility physically located at 2836 Benton Blvd, Kansas City MO, 64128-1140. NPI Number 1033115704 has the healthcare provider type.

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1013130194 NPI number is provided on an as is basis without warranty of any kind. 1013130194 is maintained by the National Plan & Provider Enumeration System. The contents of King Long Term Care Facility are for informational purposes only.