Organization
HARTEGAN,INC
Active
Other names
longblum retirement center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY HARTEGAN (SECRETARY)
(573) 682-5744
Entity
Organization
Contact information
Practice address
1301 MONROE ST, CHILLICOTHE, MO 64601-1345
(660) 646-5180
(660) 646-5181
Mailing address
11301 E GREENFIELD RD, CENTRALIA, MO 65240-3530
(573) 682-5744
(573) 682-3493
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
034513
MO
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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