Organization
B.J. PRICE, INC.
Active
Other names
Easy Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL E PRICE (PRESIDENT)
(573) 996-9420
Entity
Organization
Contact information
Practice address
650 VINE ST, POPLAR BLUFF, MO 63901-5039
(573) 778-1126
(573) 996-7508
Mailing address
HC 4 BOX 85A, DONIPHAN, MO 63935-9307
(573) 996-9420
(573) 996-7508
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
EC2-0492-1011
MO
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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