Doctor Name: | MRS. BRENDA S. KEENE |
NPI Number: | 1528184595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFH |
License Number: | 40434 |
Business Practice Address: | 1227 W Emmy Ct Kuna, ID - 836343028 |
Business Phone Number: | 2089223000 |
Business Fax Number: | 2089223384 |
Mailing Address: | 1227 W Emmy Ct, KUNA |
State: | ID |
Postal Code: | 836343028 |
Phone Number: | 2089223000 |
Fax Number: | 2089223384 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 40434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy 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. |