Organization · Type 2 NPI
KMB Residential Care, Inc.
Intellectual Disabilities Intermediate Care Facility · Van Nuys, CA
NPI number
1083800890
Active
Practice location
14160 Cantlay St
Van Nuys, CA 91405-2431
Fax (818) 360-1940
Mailing address
12544 Fraser Ave
Granada Hills, CA 91344-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 960001364 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Van Nuys
About NPI 1083800890
KMB Residential Care, Inc.'s National Provider Identifier is 1083800890, issued on Sep 15, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Van Nuys, CA. The record was last updated on Sep 15, 2007.