Organization
PATRICIAS RESIDENTIAL CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALCORN (PRESIDENT)
(573) 598-4202
Entity
Organization
Contact information
Practice address
510 E 2ND ST, ANNAPOLIS, MO 63620-9104
(573) 958-4202
(573) 598-3885
Mailing address
301 B HWY HH, PIEDMONT, MO 63957
(573) 223-2754
(573) 223-7589
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
09/19/2019
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