Organization
KINGDOM CARE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE DENISE YOUNG (DIRECTOR OF OPERATIONS)
(573) 683-1355
Entity
Organization
Contact information
Practice address
811 CENTER ST, FULTON, MO 65251-1922
(573) 642-6646
(573) 642-2202
Mailing address
811 CENTER ST, FULTON, MO 65251-1922
(573) 642-6646
(573) 642-2202
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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