Organization
B. J. PRICE, INC
Active
Other names
HILLTOP ACRES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL EMMETT PRICE (PRESIDENT)
(573) 996-5413
Entity
Organization
Contact information
Practice address
701 N GRAND AVE, DONIPHAN, MO 63935-1409
(573) 996-5413
(573) 996-7508
Mailing address
HC 4 BOX 85A, DONIPHAN, MO 63935-9307
(573) 996-5413
(573) 996-7508
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1769-9716
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858900707
—
MO
Enumeration date
01/22/2007
Last updated
06/27/2008
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