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Organization
STURGEON REST HOME, LLC
Active
Organization
STURGEON REST HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R. PREVO (OWNER)
(573) 818-8385
Entity
Organization
Contact information
Practice address
315 E STONE ST, STURGEON, MO 65284-8907
(573) 687-3012
(573) 687-1250
Mailing address
8801 HIGHWAY 63 S, COLUMBIA, MO 65201-8995
(573) 818-8385
(573) 687-1250
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
043145
MO
Other
Enumeration date
11/01/2011
Last updated
07/13/2015
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