Organization
KIDWELL HOME
Active
Organization
KIDWELL HOME
Active
Parent organization
GOOD SHEPHERD NURSING HOME DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD NURSING HOME DISTRICT
Authorized official
MRS. SANDI LEONARD (ADMINISTRATOR)
(573) 378-5411
Entity
Organization
Contact information
Practice address
1000 KIDWELL DRIVE, VERSAILLES, MO 65084
(573) 378-5411
(573) 378-5415
Mailing address
1101 W CLAY RD, VERSAILLES, MO 65084-9314
(573) 378-5411
(573) 378-5415
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032825
MO
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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