Organization
MAPLE RIDGE RESIDENTIAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN EILEEN VEACH (OWNER)
(573) 330-3760
Entity
Organization
Contact information
Practice address
1034 DORIS DR, FARMINGTON, MO 63640-1954
(573) 330-3760
Mailing address
PO BOX 272, FARMINGTON, MO 63640-0272
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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