Columbia Street Residential Care Center, LLC
Assisted Living Facility, Assisted Living, Mental Illness in Farmington, MO. Organization (NPI-2).
NPI number1356908321
StatusActive
Last updated in NPPESMay 24, 2019
Details
- NPI
- 1356908321
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Street Residential Care Center, LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2019
- Last updated
- May 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | Yes |
Practice location
208 W Columbia StFarmington, MO 63640-1705
Phone 573-330-3760
Mailing address
Po Box 272Farmington, MO 63640-0272
Phone 573-330-3760
Authorized official
Karen E. Veach
Owner
5733303760
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