Provider Demographics
NPI:1073881710
Name:THE KITCHEN, INC
Entity Type:Organization
Organization Name:THE KITCHEN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RORIE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ORGERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-837-1500
Mailing Address - Street 1:1630 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-2819
Mailing Address - Country:US
Mailing Address - Phone:417-837-1500
Mailing Address - Fax:417-831-6709
Practice Address - Street 1:1630 N JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-2819
Practice Address - Country:US
Practice Address - Phone:417-837-1500
Practice Address - Fax:417-831-6709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable