Organization
COMPLETE HEALTH CARE SOLUTIONS, INC
Active
Other names
Braun Home ISL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE RUDROFF R.N. (ADMINISTRATOR)
(573) 489-0246
Entity
Organization
Contact information
Practice address
303 S MAIN ST, FAYETTE, MO 65248-1270
(660) 248-3333
(660) 248-9875
Mailing address
303 S MAIN ST, PO BOX 29, FAYETTE, MO 65248-1270
(660) 248-3333
(660) 248-9875
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15199286
LICENSE NUMBER
MO
Enumeration date
01/16/2007
Last updated
07/26/2007
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