Organization
WILCOX PROPERTIES OF COLUMBIA LLC
Active
Other names
Candlelight Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L CLARK (BUSINESS MANAGER)
(573) 449-5287
Entity
Organization
Contact information
Practice address
1406 BUSINESS LOOP 70 W, COLUMBIA, MO 65202-1324
(573) 449-5284
Mailing address
1406 BUSINESS LOOP 70 W, COLUMBIA, MO 65202-1324
(573) 449-5284
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034174
MO
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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