# DJKIERL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558554881
- **Authorized official:** MR. RAYMOND D. KIERL (PRESIDENT)
- **Authorized official phone:** (913) 795-2637

## Contact information

- **Practice address:** 736 HEYLMAN ST, FORT SCOTT, KS 66701-2433
- **Practice address phone:** (620) 223-3120
- **Practice address fax:** (620) 223-1560
- **Mailing address:** 214 S. 10TH ST, MOUND CITY, KS 66056-5265
- **Mailing address phone:** (913) 795-2637
- **Mailing address fax:** (913) 795-2637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 03/26/2014
