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Organization

HOLLY HILLS RETIREMENT HOME

Active
Parent organization
MISSOURI RESIDENTIAL CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSOURI RESIDENTIAL CARE LLC
Authorized official
CHRISTOPHER MICHAEL VANCIL (OWNER)
(314) 630-3543
Entity
Organization

Contact information

Practice address
6421 MINNESOTA AVE, SAINT LOUIS, MO 63111-2808
(314) 630-3543
Mailing address
6421 MINNESOTA AVE, SAINT LOUIS, MO 63111-2808
(314) 630-3543

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
043055
MO

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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