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KDPKIIINK. NPI 1083364004


NPI Information

NPI: 1083364004
Provider Name: KDPKII,INK.
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
3739 MILLIKIN AVE
SAN DIEGO, CA
ZIP 92122
Phone: (858) 583-6431
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KDPKII,INK. is an assisted living and behavioral disturbances assisted living facility in San Diego, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. KDPKII,INK. NPI is 1083364004. The provider is registered as an organization entity type.

The provider's business location address is:

3739 MILLIKIN AVE
SAN DIEGO, CA
ZIP 92122-415
Phone: (858) 583-6431
Fax: (858) 587-2802

The provider's authorized official is Flora Kelly .
The authorized official title is Administrator and has the following contact phone number (858) 583-6431.

The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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