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Organization
EL DORADO SPRINGS RESIDENTIAL CARE
Active
Organization
EL DORADO SPRINGS RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN L AMOS (OWNER)
(417) 876-4278
Entity
Organization
Contact information
Practice address
805 N JACKSON ST, EL DORADO SPRINGS, MO 64744-2912
(417) 876-4278
Mailing address
805 N JACKSON ST, EL DORADO SPRINGS, MO 64744-2912
(417) 876-4278
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
037718
MO
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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