Organization
MARY V. HUTCHISON
Active
Other names
Country Valley Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY V HUTCHISON (ADMINISTRATOR)
(573) 265-8250
Entity
Organization
Contact information
Practice address
15750 COUNTY ROAD 2430, SAINT JAMES, MO 65559-8211
(573) 265-8250
(573) 265-8250
Mailing address
15750 COUNTY ROAD 2430, SAINT JAMES, MO 65559-8211
(573) 265-8250
(573) 265-8250
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
032248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266794007
—
MO
Enumeration date
02/16/2007
Last updated
06/16/2008
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