Organization
EFFIE SHURTZ GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFFIE P SHURTZ (CO-OWNER)
(573) 683-0164
Entity
Organization
Contact information
Practice address
153 COUNTY RD 411, EAST PRAIRIE, MO 63845
(573) 683-0164
(573) 649-9411
Mailing address
153 COUNTY RD 411, EAST PRAIRIE, MO 63845
(573) 683-0164
(573) 649-9411
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
EC-0762-0616
MO
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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