Organization
ADVANCE MISSOURI HEALTH CARE
Active
Other names
Advance Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY EDWARD NEWMAN (LLC MEMBER)
(573) 686-5242
Entity
Organization
Contact information
Practice address
20104 STATE HIGHWAY O, ADVANCE, MO 63730-0790
(573) 722-5200
(573) 722-3239
Mailing address
P.O. BOX 790, ADVANCE, MO 63730-0790
(573) 722-5200
(573) 722-3239
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
040505
MO
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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