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Organization
4-ACRES INC DBA FORAKERS SUMMERHOUSE
Active
Organization
4-ACRES INC DBA FORAKERS SUMMERHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARIN FORAKER (PRESIDENT)
(417) 561-4544
Entity
Organization
Contact information
Practice address
2163 ROUND MOUNTAIN RD, WALNUT SHADE, MO 65771-9155
(417) 561-4544
(417) 561-4544
Mailing address
2163 ROUND MOUNTAIN RD, WALNUT SHADE, MO 65771-9155
(417) 561-4544
(417) 561-4544
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
031991
MO
Other
Enumeration date
07/21/2007
Last updated
07/22/2008
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