Organization
VICKY L WINICK
Active
Other names
New Horizons RCF II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY LEE WINICK MSW (ADMINISTRATOR)
(573) 756-2426
Entity
Organization
Contact information
Practice address
5858 BUSIEK RD, FARMINGTON, MO 63640-7325
(573) 756-2426
(573) 756-6774
Mailing address
PO BOX 510, FARMINGTON, MO 63640-0510
(573) 756-2426
(573) 756-6774
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
031232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267915304
—
MO
Enumeration date
03/09/2007
Last updated
07/16/2008
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