# HILDA FUWELLS RESIDENTIAL CARE

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

## Provider details

- **NPI number:** 1871611483
- **Authorized official:** TERESA A ALLEN (MGR)
- **Authorized official phone:** (573) 568-2056

## Contact information

- **Practice address:** 17382 STATE HIGHWAY 25, DEXTER, MO 63841-9710
- **Practice address phone:** (573) 568-2056
- **Practice address fax:** (573) 568-2314
- **Mailing address:** 17382 STATE HIGHWAY 25, DEXTER, MO 63841-9710
- **Mailing address phone:** (573) 568-2056
- **Mailing address fax:** (573) 568-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 56249535 | MO | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020