Kennett Residential Care Facility Ii Inc in Kennett - Assisted Living Facility
Kennett Residential Care Facility Ii Inc - NPI 1265559280
Kennett Residential Care Facility Ii Inc is a Assisted Living Facility in Kennett, Missouri. Kennett Residential Care Facility Ii Inc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Kennett Residential Care Facility Ii Inc is 1265559280. The last update date is 2008-07-07.
Kennett Residential Care Facility Ii Inc's current location address is 919 S Jackson St, Kennett, Missouri. You can contact this provider via phone number 5738881201 and fax number 5738880114. The mailing address for Kennett Residential Care Facility Ii Inc is 919 S Jackson St, Kennett, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kennett Residential Care Facility Ii Inc |
|---|---|
| Address | 919 S Jackson St, Kennett, Missouri |
| Phone Number | 5738881201 |
| Fax Number | 5738880114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Stoverink Dawn Gina |
| Telephone Number | 5738881201 |
NPI Number Detail
| NPI Number | 1265559280 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 919 S Jackson St |
|---|---|
| City | Kennett |
| State | Missouri (MO) |
| Post Code | 638573803 |
| Phone Number | 5738881201 |
| Fax Number | 5738880114 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 32637 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 266730803 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kennett Residential Care Facility Ii Inc?
The Kennett Residential Care Facility Ii Inc has been issued the NPI (National Provider Identifier) 1265559280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kennett Residential Care Facility Ii Inc's facilities are geographically located?
The facilities of Kennett Residential Care Facility Ii Inc are physically situated at the following location: 919 S Jackson St, Kennett, MO, 638573803.
What is Kennett Residential Care Facility Ii Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kennett Residential Care Facility Ii Inc's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.
When was the Kennett Residential Care Facility Ii Inc's 1265559280 issued?
The Kennett Residential Care Facility Ii Inc's 1265559280 was issued on 2007-03-23.
As of what date were the Kennett Residential Care Facility Ii Inc's details last updated?
The information pertaining to the Kennett Residential Care Facility Ii Inc, including its address, specialty, and other details, was most recently updated on 2008-07-07.