Organization
ADAMS STREET PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL E. CARLSON JR. (PRESIDENT)
(573) 635-1320
Entity
Organization
Contact information
Practice address
1024 ADAMS ST, JEFFERSON CITY, MO 65101-3408
(573) 635-1320
(573) 634-3944
Mailing address
1024 ADAMS ST, JEFFERSON CITY, MO 65101-3408
(573) 635-1320
(573) 634-3944
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
033716
MO
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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