Kidwell Home
NPI #1649453408 in Versailles, Missouri
Provider Information
- NPI Number
- 1649453408
- Entity Type
- Organization
- Organization Name
- Kidwell Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GOOD SHEPHERD NURSING HOME DISTRICT
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 1000 KIDWELL DRIVE
- City
- Versailles
- State
- Missouri
- ZIP Code
- 65084
- Phone
- (573) 378-5411
Authorized Official
- Name
- MRS. SANDI LEONARD
- Title
- ADMINISTRATOR
- Phone
- (573) 378-5411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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