Kmj Enterprises Gravette LLC

NPI #1578609616 in Rogers, Arkansas

Provider Information

NPI Number
1578609616
Entity Type
Organization
Organization Name
Kmj Enterprises Gravette LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KMJ MANAGEMENT
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 29, 2007
Last Updated
Jun 10, 2008

Practice Location

Address
2600 N 22ND ST
City
Rogers
ZIP Code
72756-2200
Phone
(479) 636-5716

Authorized Official

Name
MRS. PATRICIA A MILLER
Title
PRESIDENT
Phone
(479) 636-5716

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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