Organization
KEE TO INDEPENDENT GROWTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LE'QUE BS, LPN (PRESIDENT, E.D.)
(518) 309-3557
Entity
Organization
Contact information
Practice address
40 CHURCH AVE, BALLSTON SPA, NY 12020-1903
(518) 309-3557
(518) 309-3558
Mailing address
PO BOX 243, BALLSTON SPA, NY 12020
(518) 309-3557
(518) 309-3558
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NY
251V00000X
Voluntary or Charitable Agency
Primary
—
NY
311500000X
Alzheimer Center (Dementia Center)
—
NY
311Z00000X
Custodial Care Facility
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02949544
—
NY
05
—
02950470
—
NY
05
—
02991477
—
NY
Enumeration date
10/21/2013
Last updated
10/21/2013
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