Organization
KINGDOM CARE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE DENISE YOUNG RN, BSN (CONSULTANT)
(573) 683-1355
Entity
Organization
Contact information
Practice address
811 CENTER ST, FULTON, MO 65251-1922
(573) 416-2531
Mailing address
PO BOX 456, PARMA, MO 63870-0456
(573) 683-1355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
06/19/2023
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