Organization
KASS
Active
Parent organization
KASS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KASS, INC.
Authorized official
SHELLEY STRAWTHER (ADMINISTRATOR)
(817) 451-6413
Entity
Organization
Contact information
Practice address
2817 STARK ST, FORT WORTH, TX 76112-6562
(817) 451-6413
(817) 451-7712
Mailing address
2817 STARK STREET, FORT WORTH, TX 76112
(817) 451-6413
(817) 451-7712
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
454812
TX
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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