| NPI | 1306062328 |
|---|---|
| Doing Business As | KIMBALL COMMUNITY HOME |
| Entity Type | Organization |
| Authorized Contact | SHERRI A. EVANS Mr Dd Regional Administrator 318-641-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA 937) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |