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Organization
HHCP OE LP
Active
Organization
HHCP OE LP
Active
Other names
Autumn Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW FOX (CEO)
(636) 931-8400
Entity
Organization
Contact information
Practice address
300 AUTUMN RIDGE DR, HERCULANEUM, MO 63048-1506
(636) 931-8400
Mailing address
300 AUTUMN RIDGE DR, HERCULANEUM, MO 63048-1506
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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