Organization
GREEN MEADOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON DAVIS (OWNER)
(417) 845-3276
Entity
Organization
Contact information
Practice address
5354 ROUTE F, ANDERSON, MO 64831-8506
(417) 845-3276
(417) 845-6227
Mailing address
5354 ROUTE F, ANDERSON, MO 64831-8506
(417) 845-3276
(417) 845-6227
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
13899575
MO
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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