Organization
EFFIE SHURTZ HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EFFIE SHURTZ (OWNER)
(573) 649-5054
Entity
Organization
Contact information
Practice address
22 MARGARET ST, EAST PRAIRIE, MO 63845-9195
(573) 649-5054
Mailing address
22 MARGARET ST, EAST PRAIRIE, MO 63845-9195
(573) 649-5054
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263722001
—
MO
Enumeration date
05/22/2007
Last updated
07/28/2008
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