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Organization
KRA LLC
Active
Organization
KRA LLC
Active
Other names
Haven House
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R ACHILLES (CEO)
(620) 465-2421
Entity
Organization
Contact information
Practice address
410 N RENO ST, HAVEN, KS 67543-9276
(620) 465-2421
(620) 465-2643
Mailing address
PO BOX 280, HAVEN, KS 67543-0280
(620) 465-2421
(620) 465-2643
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
B078029
KS
Other
Enumeration date
11/15/2012
Last updated
04/06/2023
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