| NPI Details | |
|---|---|
| NPI | 1215984810 |
| Enumeration Date | 05/28/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 | |
| Remove 1215984810 NPI Number | |
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.
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