<Unavail>

LBN: Kmj Enterprises Benton I Llc
<Unavail> is an health care organization with primary practice located at 3300 Military Rd , Benton AR 72015-2581. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kmj Enterprises Benton I Llc can be contacted via phone (501) 778-8282, or through Miller, Patricia via phone (479) 636-5716.

Contact Information

Primary practice address
3300 Military Rd Benton AR 72015-2581
Phone: (501) 778-8282
Fax: (501) 778-1232
Website:
Map and Directions
Authorized official contact:
Name: Miller, Patricia
Phone: (479) 636-5716

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 709 Arkansas

Profile Details

NPI number 1972590446
LBN Legal business name Kmj Enterprises Benton I Llc
DBA Doing business as <Unavail>
Authorized official Miller, Patricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jun 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590446 NPPES
Arkansas MEDICAID 119717311

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