# RIPLEY COUNTY COLONIAL HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144341181
- **Authorized official:** MR. BOB ADAMS (ADMINISTRATOR)
- **Authorized official phone:** (573) 996-3328

## Contact information

- **Practice address:** 102 E SUMMIT ST, DONIPHAN, MO 63935-1328
- **Practice address phone:** (573) 996-3328
- **Practice address fax:** (573) 996-7274
- **Mailing address:** 102 E SUMMIT ST, DONIPHAN, MO 63935-1328
- **Mailing address phone:** (573) 996-3328
- **Mailing address fax:** (573) 996-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | — | MO | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 07/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 268016904 | — | MO |