Organization
THE RETREAT AT KENWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKEY W RIEBESELL (PRESIDENT/ADMINISTRATOR)
(903) 336-6134
Entity
Organization
Contact information
Practice address
210 N KENWOOD RD, TEXARKANA, TX 75501-2928
(903) 336-6134
(903) 336-6135
Mailing address
210 N KENWOOD RD, TEXARKANA, TX 75501-2928
(903) 336-6134
(903) 336-6135
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
08/28/2015
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