Organization
KENNETT RESIDENTIAL CARE FACILITY II INC
Active
Organization
KENNETT RESIDENTIAL CARE FACILITY II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA DAWN STOVERINK (OWNER PRESIDENT)
(573) 888-1201
Entity
Organization
Contact information
Practice address
919 S JACKSON ST, KENNETT, MO 63857-3803
(573) 888-1201
(573) 888-0114
Mailing address
919 S JACKSON ST, KENNETT, MO 63857-3803
(573) 888-1201
(573) 888-0114
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032637
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266730803
—
MO
Enumeration date
03/23/2007
Last updated
07/07/2008
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