Provider Demographics
NPI:1568650307
Name:KC COMPANIES OF TOWER INC
Entity Type:Organization
Organization Name:KC COMPANIES OF TOWER INC
Other - Org Name:GOLDEN HORIZONS OF TOWER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCTG DEPT MANAGEMENT DEPT FOR KC
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-217-2640
Mailing Address - Street 1:1232 BIRCH ST N
Mailing Address - Street 2:
Mailing Address - City:TOWER
Mailing Address - State:MN
Mailing Address - Zip Code:55790-8226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1232 BIRCH ST N
Practice Address - Street 2:
Practice Address - City:TOWER
Practice Address - State:MN
Practice Address - Zip Code:55790-8226
Practice Address - Country:US
Practice Address - Phone:218-753-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility