Kathleens Residential Care INC

NPI #1356415152 in Emmetsburg, Iowa

Provider Information

NPI Number
1356415152
Entity Type
Organization
Organization Name
Kathleens Residential Care INC
Primary Specialty
Custodial Care Facility
Enumeration Date
Nov 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1505 E 5TH ST
State
Iowa
ZIP Code
50536-1403
Phone
(712) 852-2267

Authorized Official

Name
MR. DENNIS C VICIAN
Title
ADMINISTRATOR
Phone
(712) 852-2267

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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