Organization
OAK MEADOWS RCF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KEENEY (OWNER)
(573) 718-1973
Entity
Organization
Contact information
Practice address
5502 MISTY MEADOW RD, POPLAR BLUFF, MO 63901-9287
(573) 727-9889
Mailing address
215 COUNTY ROAD 360, HARVIELL, MO 63945-9167
(573) 718-1973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M268507506
—
MO
Enumeration date
10/28/2020
Last updated
10/28/2020
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