KENNETT RESIDENTIAL CARE FACILITY II INC
Nursing at Jackson St, Caruth, MO

License number
Missouri 032637
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MRS. GINA DAWN STOVERINK
Title: OWNER PRESIDENT
Phone: (573) 888-1201
Address
Address
919 S Jackson St, Caruth, MO 63857
National Provider ID: 1265559280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETT RESIDENTIAL CARE FACILITY II, INC

614 S Byp, Kennett, MO 63857

Registration:
Oct 25, 2002
State ID:
00514300
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
Gina D. Stoverink,612 S Byp, Kennett, MO 63857 (Physical)

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