| NPI | 1700462199 |
|---|---|
| Former Legal Business Name | KENNY'S PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | KENYON LINDSEY CEO 770-899-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |