Organization
THE SHADE TREE LLC
Active
Other names
The Shade Tree
Organization subpart
No
Provider details
NPI number
Authorized official
KAHLA BURGE RN BSN (OWNER)
(636) 358-1889
Entity
Organization
Contact information
Practice address
1325 S HIGHLAND CT, MARSHALL, MO 65340-3058
(636) 358-1889
Mailing address
PO BOX 4, ARROW ROCK, MO 65320-0004
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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