NPI 1518168483
Kenwell Home
Practice location
- Address
- 6614 Kenwell St, Dallas, TX 75209-5344
- Phone
- (214) 904-1734
Authorised official
- Name
- Louis David Groom
- Title
- Home Administrator
- Phone
- (214) 904-1734
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1518168483
- Entity type
- Organization
- NPI issued
- 30 May 2007
- Record last updated
- 12 Aug 2008
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.