Kmj Enterprises Benton I LLC

NPI #1972590446 in Benton, Arkansas

Provider Information

NPI Number
1972590446
Entity Type
Organization
Organization Name
Kmj Enterprises Benton I LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KMJ MANAGEMENT
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 30, 2005
Last Updated
Jun 10, 2008

Practice Location

Address
3300 MILITARY RD
City
Benton
ZIP Code
72015-2581
Phone
(501) 778-8282

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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