Organization
HIGHLAND HOME RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA RUTH BRADLEY (PRESIDENT)
(660) 229-1976
Entity
Organization
Contact information
Practice address
1325 S HIGHLAND CT, MARSHALL, MO 65340-3058
(660) 229-1976
Mailing address
PO BOX 974, MARSHALL, MO 65340-0974
(660) 886-8675
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
035237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M266757814
—
MO
Enumeration date
03/27/2009
Last updated
03/27/2009
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