El Dorado Springs Residential Care

NPI 1083946677 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1083946677
Enumeration Date 02/05/2010
Last Updated 02/05/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANN L ANN
Position OWNER
Phone (417) 876-4278
Fax
Practice Location
805 N JACKSON ST
EL DORADO SPRINGS MO, 64744-2912, US
Phone (417) 876-4278
Fax
Business Location
805 N JACKSON ST
EL DORADO SPRINGS MO, 64744-2912, US
Phone (417) 876-4278
Fax
Toxanomy
Taxonomy Code 311Z00000X
License State Missouri
License Number 037718
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According to our database, El Dorado Springs Residential Care NPI is 1083946677, taxonomy code is 311Z00000X and license number is 037718, license state is located at Missouri. El Dorado Springs Residential Care physically located at 805 N Jackson St, El Dorado Springs MO, 64744-2912. NPI Number 1033115704 has the healthcare provider type.

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1083946677 NPI number is provided on an as is basis without warranty of any kind. 1083946677 is maintained by the National Plan & Provider Enumeration System. The contents of El Dorado Springs Residential Care are for informational purposes only.