Organization
RIVENDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI DUNCAN (DIRECTOR)
(417) 864-7921
Entity
Organization
Contact information
Practice address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65806-1287
(417) 864-7921
Mailing address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65807-1287
(417) 864-7921
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MO
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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