Kmb Residential Care, Inc.

NPI 1083800890 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1083800890
Enumeration Date 09/15/2007
Last Updated 09/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL LEONARD CARL
Position PRESIDENT
Phone (818) 501-5375
Fax (818) 360-1940
Practice Location
14160 CANTLAY ST
VAN NUYS CA, 91405-2431, US
Phone (818) 501-5375
Fax (818) 360-1940
Business Location
12544 FRASER AVE
GRANADA HILLS CA, 91344-1321, US
Phone (818) 501-5375
Fax (818) 360-1940
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Kmb Residential Care, Inc. NPI is 1083800890, taxonomy code is 315P00000X Kmb Residential Care, Inc. physically located at 14160 Cantlay St, Van Nuys CA, 91405-2431. NPI Number 1033115704 has the healthcare provider type.

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1083800890 NPI number is provided on an as is basis without warranty of any kind. 1083800890 is maintained by the National Plan & Provider Enumeration System. The contents of Kmb Residential Care, Inc. are for informational purposes only.