KENWOOD PLAZA INC. NPI 1306823406

NPI Information

KENWOOD PLAZA, INC. is an assisted living facility in St John, KS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KENWOOD PLAZA, INC. NPI is 1306823406. The provider is registered as an organization entity type.

The provider's business location address is:

607 E 1ST AVE
ST JOHN, KS
ZIP 67576-223
Phone: (620) 549-6133
Fax: (620) 549-9971

The provider's authorized official is Tracy L Bartley .
The authorized official title is Chief Financial Officer and has the following contact phone number (785) 273-3383.

The CLIA number assigned to this NPI record is 17D0968985 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 8/22/2020.

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:

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