Organization
REBUILD CONTRACTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KYLE DAMPIER (OWNER)
(573) 434-1601
Entity
Organization
Contact information
Practice address
1783 POSSUM HOLLOW DR, CAMDENTON, MO 65020-6709
(573) 434-1601
(573) 346-5530
Mailing address
PO BOX 3377, CAMDENTON, MO 65020-3377
(573) 434-1601
(573) 346-5530
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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