Organization · Type 2 NPI
Kathleens Residential Inc
Intellectual Disabilities Intermediate Care Facility · Enimetsburg, IA
NPI number
1285793984
Active
Practice location
1505 E 5th St
Enimetsburg, IA 50536-1403
Fax (712) 852-2362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 740018 (IA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1285793984
Kathleens Residential Inc's National Provider Identifier is 1285793984, issued on Dec 8, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Enimetsburg, IA. The record was last updated on Aug 22, 2020.