Organization
LACEY ANN SKELTON
Active
Other names
Hilltop Haven Residential Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACEY A SKELTON LEVEL 1 MED AIDE (ADMINISTRATOR)
(573) 226-5426
Entity
Organization
Contact information
Practice address
18941 CR 305A, EMINENCE, MO 65466-6268
(573) 226-5426
(573) 226-5426
Mailing address
18941 CR 305A, EMINENCE, MO 65466-6268
(573) 226-5426
(573) 226-5426
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
11/08/2021
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