Kismet Spl - A, LLC

NPI #1063870152 in Spirit Lake, Iowa

Provider Information

NPI Number
1063870152
Entity Type
Organization
Organization Name
Kismet Spl - A, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 3, 2016
Last Updated
Feb 27, 2019

Practice Location

Address
1819 23RD ST
State
Iowa
ZIP Code
51360-7096
Phone
(712) 336-3553

Authorized Official

Name
MICHAEL L. MOORE
Title
CHIEF FINANCIAL OFFICER
Phone
(605) 642-7736

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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