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Organization
THE SHADE TREE LLC
Active
Organization
THE SHADE TREE LLC
Active
Other names
The Shade Tree
Organization subpart
No
Provider details
NPI number
Authorized official
KAHLA BURGE RN BSN (OWNER)
(636) 358-1889
Entity
Organization
Contact information
Practice address
1325 S HIGHLAND CT, MARSHALL, MO 65340-3058
(636) 358-1889
Mailing address
PO BOX 4, ARROW ROCK, MO 65320-0004
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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