Organization
SUNSHINE RC LLC
Active
Other names
SUNSHINE ACRES RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NOLTING (MANAGER)
(573) 732-5366
Entity
Organization
Contact information
Practice address
541 ROCK RD, BOURBON, MO 65441-6324
(573) 732-5366
Mailing address
PO BOX 67, BOURBON, MO 65441-0067
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
042582
MO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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