NPI 1003817388

Kismet Lgn, LLC

Organisation Skilled Nursing Facility Logan, IA

Practice location

Address: 314 S Elm Ave, Logan, IA 51546-1442
Phone: (712) 644-2922

Authorised official

Name: Michael Moore
Title: Cfo
Phone: (605) 642-7736

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 430203 (IA)

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Registry record

NPI: 1003817388
Entity type: Organization
NPI issued: 9 Aug 2005
Record last updated: 22 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.