NPI | 1841076544 |
---|---|
Former Legal Business Name | KB RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | KALYN M BLACKSHEAR CEO/Owner 577-289-6447 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2023-09-07 |
Last Update Date | 2023-09-07 |