Organization
KMJ ENTERPRISES CASSVILLE LLC
Active
Parent organization
KMJ MANAGEMENT
Other names
Red Rose Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMJ MANAGEMENT
Authorized official
JACQUELINE MICHELE ROSE HATHORN (MANAGING MEMBER)
(479) 636-5716
Entity
Organization
Contact information
Practice address
812 OLD EXETER RD, CASSVILLE, MO 65625-1704
(417) 847-2184
(417) 847-2642
Mailing address
7 HALSTED CIR, ROGERS, AR 72756-3185
(479) 636-5716
(479) 636-2080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26A159
—
MO
Enumeration date
09/30/2005
Last updated
01/20/2012
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