Organization
TWIN CITY RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD EUGENE HARRIS R.N. (PRESIDENT)
(636) 937-3851
Entity
Organization
Contact information
Practice address
1 HOLDING LN, CRYSTAL CITY, MO 63019-1122
(636) 937-3851
(636) 933-4774
Mailing address
PO BOX 92, HERCULANEUM, MO 63048-0092
(636) 937-3851
(636) 933-4774
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
031862
MO
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
416-8406
MO
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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