# PRAIRIE HOME R-V

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841683638
- **Authorized official:** DR. SPEPHEN BARNES (SUPERINTENDENT)
- **Authorized official phone:** (660) 841-5296

## Contact information

- **Practice address:** 301 HIGHWAY DR \# 87, PRAIRIE HOME, MO 65068-2333
- **Practice address phone:** (660) 841-5296
- **Practice address fax:** (660) 841-5513
- **Mailing address:** 301 HIGHWAY DR \# 87, PRAIRIE HOME, MO 65068-2333
- **Mailing address phone:** (660) 841-5296
- **Mailing address fax:** (660) 841-5513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015