| NPI | 1538360151 |
|---|---|
| Doing Business As | KEVINGTON LANE |
| Entity Type | Organization |
| Authorized Contact | MARY ANNE MORSE-BOLTON Administrator Owner 712-374-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA 360305) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-14 |