PATRICIA L KENNETT

REPUBLIC, MO
NPI1790064988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MO  2001017780)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
Mrs. PATRICIA L KENNETT COTA/L
556 S BUXTON LN
REPUBLIC, MO 65738-1810
Phone number: 417-234-9174
Mailing Address
Mrs. PATRICIA L KENNETT COTA/L
556 S BUXTON LN
REPUBLIC, MO 65738-1810
Phone number: