Kennett Residential Care Facility II INC

NPI #1265559280 in Kennett, Missouri

Provider Information

NPI Number
1265559280
Entity Type
Organization
Organization Name
Kennett Residential Care Facility II INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 23, 2007
Last Updated
Jul 7, 2008

Practice Location

Address
919 S JACKSON ST
ZIP Code
63857-3803
Phone
(573) 888-1201

Authorized Official

Name
MRS. GINA DAWN STOVERINK
Title
OWNER PRESIDENT
Phone
(573) 888-1201

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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