Organization
KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER
Active
Other names
Columbus Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E PEARSON (DIRECTOR)
(573) 471-1902
Entity
Organization
Contact information
Practice address
829 TANNER ST, SIKESTON, MO 63801-2261
(573) 471-1902
(573) 471-3494
Mailing address
829 TANNER ST, SIKESTON, MO 63801-2261
(573) 471-1902
(573) 471-3494
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852690908
—
MO
Enumeration date
02/27/2007
Last updated
06/16/2008
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