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Organization

CARROLL HOUSE, INC.

Active
Other names
Carroll House
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization

Contact information

Practice address
306 GRAND AVE, CARROLLTON, MO 64633-2203
(660) 542-1599
(660) 542-3241
Mailing address
306 GRAND AVE, CARROLLTON, MO 64633-2203
(660) 542-1599
(660) 542-3241

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029457
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106967904
MO
01
17206936
STATE ID
MO
Enumeration date
09/21/2005
Last updated
09/15/2025
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