Krypton

NPI 1043433329 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1043433329
Enumeration Date 04/11/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DENISE DENISE
Position OWNER
Phone (618) 524-8996
Fax
Practice Location
502 W 8TH ST
METROPOLIS IL, 62960-1617, US
Phone (618) 524-8996
Fax
Business Location
502 W 8TH ST
METROPOLIS IL, 62960-1617, US
Phone (618) 524-8996
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Krypton NPI is 1043433329, taxonomy code is 320600000X Krypton physically located at 502 W 8th St, Metropolis IL, 62960-1617. NPI Number 1033115704 has the healthcare provider type.

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1043433329 NPI number is provided on an as is basis without warranty of any kind. 1043433329 is maintained by the National Plan & Provider Enumeration System. The contents of Krypton are for informational purposes only.