Organization
BARNABAS #3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EWING (PRESIDENT AND CEO)
(913) 416-2232
Entity
Organization
Contact information
Practice address
203 FRANKS LN, CAPE GIRARDEAU, MO 63701-8439
(573) 334-8145
Mailing address
25896 PLEASANT VALLEY RD, WELLSVILLE, KS 66092-8307
(913) 416-2232
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
041322
MO
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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