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Organization
SUNSHINE RC LLC
Active
Organization
SUNSHINE RC LLC
Active
Other names
SUNSHINE ACRES RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NOLTING (MANAGER)
(573) 732-5366
Entity
Organization
Contact information
Practice address
541 ROCK RD, BOURBON, MO 65441-6324
(573) 732-5366
Mailing address
PO BOX 67, BOURBON, MO 65441-0067
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
042582
MO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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