Organization
HUBBLE CREEK, LLC
Active
Other names
Hubble Creek, Monticello House RCF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN P SELLS (MEMBER)
(573) 614-7472
Entity
Organization
Contact information
Practice address
1115 K LAND DR, JACKSON, MO 63755-2588
(573) 243-8989
(573) 243-6836
Mailing address
1115 K LAND DR, JACKSON, MO 63755-2588
(573) 243-8989
(573) 243-6836
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16950101
STATE ID
MO
Enumeration date
09/26/2005
Last updated
10/16/2025
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