<Unavail>

LBN: Kmj Enterprises Gravette Llc
<Unavail> is an health care organization with primary practice located at 2600 N 22Nd St , Rogers AR 72756-2200. 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 Gravette Llc can be contacted via phone (479) 636-5716, or through Miller, Patricia A via phone (479) 636-5716.

Contact Information

Primary practice address
2600 N 22Nd St Rogers AR 72756-2200
Phone: (479) 636-5716
Fax: (479) 636-2080
Website:
Map and Directions
Authorized official contact:
Name: Miller, Patricia A
Phone: (479) 636-5716

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 723 Arkansas

Profile Details

NPI number 1578609616
LBN Legal business name Kmj Enterprises Gravette Llc
DBA Doing business as <Unavail>
Authorized official Miller, Patricia A
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2007
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 1578609616 NPPES
Arkansas MEDICAID 164340311

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