Kmj Enterprises Benton II LLC

NPI #1871580050 in Benton, Arkansas

Provider Information

NPI Number
1871580050
Entity Type
Organization
Organization Name
Kmj Enterprises Benton II LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KMJ MANAGEMENT
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 3, 2005
Last Updated
Jun 10, 2008

Practice Location

Address
809 KENWOOD RD
City
Benton
ZIP Code
72015-2337
Phone
(501) 778-7417

Authorized Official

Name
PATRICIA MILLER
Title
PRESIDENT/CEO
Phone
(479) 636-5716

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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