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1750791356 NPI number — THE RETREAT AT KENWOOD INC

NPI Number: 1750791356
Health Care Provider/Practitioner: THE RETREAT AT KENWOOD INC

Information about “1750791356” NPI (THE RETREAT AT KENWOOD INC) exists in 1750791356 in HTML format HTML  |  1750791356 in plain Text format TXT  |  1750791356 in PDF (Portable Document Format) PDF  |  1750791356 in an XML format XML  formats.

NPI Number : 1750791356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750791356",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE RETREAT AT KENWOOD INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "210 N KENWOOD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEXARKANA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75501-2928",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-336-6134",
    "MailingAddressFaxNumber": "903-336-6135",
    "FirstLinePracticeLocationAddress": "210 N KENWOOD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEXARKANA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75501-2928",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-336-6134",
    "PracticeLocationAddressFaxNumber": "903-336-6135",
    "EnumerationDate": "05/05/2014",
    "LastUpdateDate": "08/28/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIEBESELL",
    "AuthorizedOfficialFirstName": "RICKEY",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "PRESIDENT/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "903-336-6134",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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