KILGORE AL MANAGEMENT LLC NPI 1346608700

NPI Information

  • NPI: 1346608700
  • Provider Name: KILGORE AL MANAGEMENT LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ARABELLA OF KILGORE
  • CLIA Number: 45D2194889
  • Address: 2103 CHANDLER ST
    KILGORE, TX
    ZIP 75662
  • Phone: (903) 984-8839

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NPI Details

KILGORE AL MANAGEMENT LLC is an assisted living facility in Kilgore, TX. 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. KILGORE AL MANAGEMENT LLC NPI is 1346608700. The provider is registered as an organization entity type.
The provider Is Doing Business As Arabella Of Kilgore.

The provider's business location address is:

2103 CHANDLER ST
KILGORE, TX
ZIP 75662-741
Phone: (903) 984-8839

The provider's authorized official is Lawrence Wayne Powell .
The authorized official title is President and has the following contact phone number (817) 386-8888.

The CLIA number assigned to this NPI record is 45D2194889 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility103201TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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