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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
0051680IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS IL - Page 1