Ripley County Colonial Home, INC
Homemaker in Doniphan, MO. Organization (NPI-2).
NPI number1770038366
StatusActive
Last updated in NPPESAug 24, 2016
Details
- NPI
- 1770038366
- Entity type
- Organization (NPI-2)
- Legal business name
- Ripley County Colonial Home, INC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2016
- Last updated
- Aug 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Other names
- Colonial Home Care Services (Doing Business As)
Practice location
102 E Summit StDoniphan, MO 63935-1328
Phone 573-996-3328 · Fax 573-996-7274
Mailing address
102 E Summit StDoniphan, MO 63935-1328
Phone 573-996-3328 · Fax 573-996-7274
Authorized official
Robert Wade Adams
Administrator
5739963328
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