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Mrs. Patricia L Kennett, COTA/L
Adult Care Home Facility in Republic, Missouri
NPI 1790064988

Patricia L Kennett is an Adult Care Home Facility based in Republic, MO and is specialized in Adult Care Home. Patricia L Kennett practices in Republic, MO and has the professional credentials of COTA/L. The NPI Number for Patricia L Kennett is 1790064988 and holds a License No. 2001017780 (Missouri).

The current practice location address for Patricia L Kennett is 556 S Buxton Ln, Republic, MO and can be reached out via phone at 417-234-9174.

Location: 556 S Buxton Ln, Republic, MO, 65738-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790064988
Provider Name
Patricia L Kennett
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
556 S Buxton Ln, Republic, MO, 65738-1810
Phone Number
417-234-9174
Fax Number
Provider Enumeration Date
08/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
556 S Buxton Ln
City
Republic
State
Missouri
Zip
65738-1810
Phone Number
417-234-9174
Fax Number
person
Provider Business Mailing Address Details
Address
556 S Buxton Ln
City
Republic
State
Missouri
Zip
65738-1810
Phone Number
417-234-9174
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
2001017780 (Missouri)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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