NPI 1487641841

Kmj Enterprises Cassville LLC

Organisation Skilled Nursing Facility Cassville, MO

Practice location

Address: 812 Old Exeter Rd, Cassville, MO 65625-1704
Phone: (417) 847-2184
Fax: (417) 847-2642
Mailing address: 7 Halsted Cir, Rogers, AR 72756-3185

Authorised official

Name: Jacqueline Michele Rose Hathorn
Title: Managing Member
Phone: (479) 636-5716

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 031016 (MO)

Other Skilled Nursing Facility providers in Missouri →

Registry record

NPI: 1487641841
Entity type: Organization
NPI issued: 30 Sep 2005
Record last updated: 20 Jan 2012

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.