Kathryn D. Ketter

NPI #1184279861 in Lindale, Texas

Provider Information

NPI Number: 1184279861
Entity Type: Organization
Organization Name: Kathryn D. Ketter
Primary Specialty: Custodial Care Facility - Adult Care Home
Enumeration Date: Aug 8, 2019
Last Updated: Aug 8, 2019

Practice Location

Address: 16337 ESTHER RD
City: Lindale
State: Texas
ZIP Code: 75771-5574
Phone: (903) 707-4259

Authorized Official

Name: KATHRYN D KETTER
Title: OWNER
Phone: (903) 707-4259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X	Primary

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