Prc Enterprises, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Poplar Bluff, MO. Organization (NPI-2).
Details
- NPI
- 1982804324
- Entity type
- Organization (NPI-2)
- Legal business name
- Prc Enterprises, INC.
- Organization subpart
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- Sep 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- My Home (Doing Business As)
Practice location
650 Vine StPoplar Bluff, MO 63901-5039
Phone 573-778-1126 · Fax 573-785-4887
Mailing address
650 Vine StPoplar Bluff, MO 63901-5039
Phone 573-778-1126 · Fax 573-785-4887
Authorized official
Patricia Rose Campbell
Owner
5737781126
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