Organization
KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
Active
Other names
KALEF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN ANN KENNEDY (PRESIDENT)
(803) 736-9151
Entity
Organization
Contact information
Practice address
3031 SCOTSMAN RD STE 13, COLUMBIA, SC 29223-1812
(803) 736-5872
(803) 736-5872
Mailing address
3031 SCOTSMAN RD STE 13, COLUMBIA, SC 29223-1812
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2009-38336-37480
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
SC
05
—
164W00000X
—
SC
05
—
172V00000X
—
SC
05
—
174H00000X
—
SC
05
—
193200000X
—
SC
05
—
343900000X
—
SC
05
—
347C00000X
—
SC
05
—
372500000X
—
SC
05
—
372600000X
—
SC
05
—
373H00000X
—
SC
05
—
374K00000X
—
SC
05
—
374U00000X
—
SC
05
—
376J00000X
—
SC
05
—
385H00000X
—
SC
05
—
390200000X
—
SC
Enumeration date
08/20/2009
Last updated
02/26/2010
Update your record
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