Organization
KB GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELECHI BLANTON NURSE PRACTITIONER (OWNER)
(612) 235-9988
Entity
Organization
Contact information
Practice address
1410 N ELM ST, DENTON, TX 76201-3056
(616) 122-3599
(940) 305-0067
Mailing address
1410 N ELM ST, DENTON, TX 76201-3056
(612) 235-9988
(940) 305-0067
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
08/23/2023
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