Kccdd, Inc.

LBN: Kccdd, Inc.
Kccdd, Inc. is an health care organization with primary practice located at 2015 Windish Dr , Galesburg IL 61401-9774. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Kccdd, Inc. can be contacted via phone (309) 344-2600, or through Rudolph, Mark Edwin via phone (309) 344-2600.

Contact Information

Primary practice address
2015 Windish Dr Galesburg IL 61401-9774
Phone: (309) 344-2600
Fax: (309) 344-1754
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Mark Edwin
Phone: (309) 344-2600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A000103309 Illinois
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1881857514
LBN Legal business name Kccdd, Inc.
DBA Doing business as
Authorized official Rudolph, Mark Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Sep 6th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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