Organization
PATRICIA'S RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHEVIS MICHELLE ALCORN (OWNER)
(573) 598-4202
Entity
Organization
Contact information
Practice address
510 E 2ND ST, ANNAPOLIS, MO 63620-9104
(573) 598-4202
(573) 598-3885
Mailing address
510 E 2ND ST, ANNAPOLIS, MO 63620-9104
(573) 598-4202
(573) 598-3885
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031336
MO
Other
Enumeration date
08/30/2006
Last updated
07/22/2008
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