Organization
RESCARE OF MISSOURI, INC.
Active
Other names
Jefferson Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC FINK (OWNER)
(573) 642-7770
Entity
Organization
Contact information
Practice address
828 JEFFERSON ST, FULTON, MO 65251-1877
(573) 642-7770
Mailing address
828 JEFFERSON ST, FULTON, MO 65251-1877
(573) 642-7770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
019389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266715804
—
MO
Enumeration date
03/26/2007
Last updated
06/27/2008
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