KMB RESIDENTIAL CARE INC. NPI 1083800890

NPI Information

KMB RESIDENTIAL CARE, INC. is an intermediate care facility mentally retarded in Van Nuys, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. KMB RESIDENTIAL CARE, INC. NPI is 1083800890. The provider is registered as an organization entity type.
The provider Is Doing Business As Cantlay House.

The provider's business location address is:

14160 CANTLAY ST
VAN NUYS, CA
ZIP 91405-431
Phone: (818) 501-5375
Fax: (818) 360-1940

The provider's authorized official is Carl Leonard King .
The authorized official title is President and has the following contact phone number (818) 501-5375.

The enumeration date for this NPI number is 9/15/2007 and was last updated on 9/15/2007.

Taxonomy Codes

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Other Identifiers

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