Provider Demographics
NPI:1942605399
Name:R&K PROPERTY MANAGEMENT LLC
Entity type:Organization
Organization Name:R&K PROPERTY MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-542-0863
Mailing Address - Street 1:711 VASSAR WAY
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-3203
Mailing Address - Country:US
Mailing Address - Phone:208-542-0863
Mailing Address - Fax:
Practice Address - Street 1:711 VASSAR WAY
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3203
Practice Address - Country:US
Practice Address - Phone:208-542-0863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID=========Medicaid