Organization
GREEN ACRES ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY COLE (OWNER)
(573) 471-0466
Entity
Organization
Contact information
Practice address
411 N KINGS HIGHWAY, SIKESTON, MO 63801-1936
(573) 471-0466
(573) 471-4918
Mailing address
1515 E MALONE AVE, SIKESTON, MO 63801-3413
(573) 471-0466
(573) 471-4918
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
10/08/2020
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