Organization
HARD KNOCKS LLC
Active
Other names
Magnolia House
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BUCHANAN (OWNER)
(314) 330-0434
Entity
Organization
Contact information
Practice address
204 GRAND AVE, FESTUS, MO 63028-1842
(636) 933-0662
Mailing address
614 WALMART DR STE 108, FARMINGTON, MO 63640-3315
(314) 330-0434
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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