NPI 1477975183

Krc 1505 Health Care Services LLC

Organisation Assisted Living Facility Nevada, MO

Practice location

Address: 1505 East Ashland Street, Nevada, MO 64772
Phone: (417) 667-3900
Fax: (417) 667-3923
Mailing address: 1505 E Ashland St, Nevada, MO 64772-4025

Authorised official

Name: Karen Clark
Title: Managing Member
Phone: (417) 667-3900

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 041595 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1477975183
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 15 Jan 2014

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.