Organization
GREATER HEIGHTS RCF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY GREENWALT (ADMINISTRATOR)
(573) 431-0344
Entity
Organization
Contact information
Practice address
600 N FRONT ST, PARK HILLS, MO 63601-3804
(573) 431-0344
(573) 431-3229
Mailing address
PO BOX 603, PARK HILLS, MO 63601-0603
(573) 431-0344
(573) 431-3229
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
391-9391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266733005
—
MO
Enumeration date
03/20/2007
Last updated
06/02/2011
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