KT CARE LLC
Intermediate Care Facility, Mental Illness
Bourbonnais, Illinois
Provider NPI: 1477824480
Organization Information:Organization Name: KT CARE LLC
Practice Location:
100 BELLE AIRE AVE BOURBONNAIS, IL 60914 US
Tel: 815-939-0910 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
100 BELLE AIRE AVE BOURBONNAIS, IL 60914 US
Tel: 815-939-0910 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0051680 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin