Kmj Enterprises Cassville LLC
NPI #1487641841 in Cassville, Missouri
Provider Information
- NPI Number
- 1487641841
- Entity Type
- Organization
- Organization Name
- Kmj Enterprises Cassville LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KMJ MANAGEMENT
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Jan 20, 2012
Practice Location
Authorized Official
- Name
- JACQUELINE MICHELE ROSE HATHORN
- Title
- MANAGING MEMBER
- Phone
- (479) 636-5716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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