Individual
MRS. KATHRYN D. KETTER DBA SNIDER ADULT FOSTER CARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16337 ESTHER RD, LINDALE, TX 75771
(903) 707-4259
Mailing address
16337 ESTHER RD, LINDALE, TX 75771-5574
(903) 707-4259
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004936021501
—
TX
Enumeration date
02/07/2017
Last updated
05/15/2019
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