Organization
ROGER A MARTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER ALLEN MARTIN (OWNER)
(573) 687-3012
Entity
Organization
Contact information
Practice address
315 E. STONE ST., PO 328, STURGEON, MO 65284-0328
(573) 687-3012
(573) 687-1250
Mailing address
315 E. STONE ST., PO 328, STURGEON, MO 65284-0328
(573) 687-3012
(573) 687-1250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032267
MO
Other
Enumeration date
01/04/2007
Last updated
06/24/2008
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