Organization
KYNDAL KARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK D WATKINS MT (OWNER)
(318) 949-9999
Entity
Organization
Contact information
Practice address
794 PEGUES RD, LONGVIEW, TX 75603-6616
(903) 261-7386
Mailing address
794 PEGUES RD, LONGVIEW, TX 75603-6616
(903) 643-8638
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
10/13/2009
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