NPI 1356415152

Kathleens Residential Care INC

Organisation Custodial Care Facility Emmetsburg, IA

Practice location

Address: 1505 E 5th St, Emmetsburg, IA 50536-1403
Phone: (712) 852-2267
Fax: (712) 852-2362
Mailing address: 1505 E 5th St PO Box 279, Emmetsburg, IA 50536-1403

Authorised official

Name: Dennis C Vician
Title: Administrator
Phone: (712) 852-2267

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence RC7 018 (IA)

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Registry record

NPI: 1356415152
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 22 Aug 2020

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.