Organization
RIDGEWAY RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JOY TURNER (OWNER)
(314) 608-5918
Entity
Organization
Contact information
Practice address
431 RUSSELL RD, SULLIVAN, MO 63080-2228
(314) 608-5918
(573) 468-5368
Mailing address
PO BOX 267, 431 RUSSELL ROAD, SULLIVAN, MO 63080-0267
(314) 608-5918
(573) 468-5368
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267903607
—
MO
Enumeration date
11/07/2006
Last updated
06/25/2008
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