| NPI | 1033506456 |
|---|---|
| Former Legal Business Name | THE KLR PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | KELLEE L RANDLE CEO 267-981-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX P3570) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-09-27 |