Kirksville Residential, Llc

NPI 1215984810 - Assisted Living Facility - 310400000X

NPI Details
NPI 1215984810
Enumeration Date 05/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES JAMES
Position TREASURER
Phone (660) 627-8004
Fax
Practice Location
2204 S HALLIBURTON ST
KIRKSVILLE MO, 63501-4651, US
Phone (660) 627-8004
Fax
Business Location
2204 S HALLIBURTON ST
KIRKSVILLE MO, 63501-4651, US
Phone (660) 627-8004
Fax
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Kirksville Residential, Llc NPI is 1215984810, taxonomy code is 310400000X Kirksville Residential, Llc physically located at 2204 S Halliburton St, Kirksville MO, 63501-4651. NPI Number 1033115704 has the healthcare provider type.

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1215984810 NPI number is provided on an as is basis without warranty of any kind. 1215984810 is maintained by the National Plan & Provider Enumeration System. The contents of Kirksville Residential, Llc are for informational purposes only.