NPI 1588121958

Kal 2016, LLC

Organisation Assisted Living Facility Kilgore, TX

Practice location

Address: 2103 Chandler St, Kilgore, TX 75662-3741
Phone: (903) 984-8839

Authorised official

Name: Tanner Stierwalt
Title: Avpo
Phone: (817) 851-5805

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1588121958
Entity type: Organization
NPI issued: 21 Feb 2019
Record last updated: 21 Feb 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.