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Organization

CRAWFORD RANCH BOARDING HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS CRAWFORD (OWNER)
(573) 756-4656
Entity
Organization

Contact information

Practice address
2200 VARVERA RD, DOE RUN, MO 63637-3121
(573) 756-4656
Mailing address
2200 VARVERA RD, DOE RUN, MO 63637-3121
(573) 756-4656

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
035378
MO

Other

Enumeration date
04/08/2008
Last updated
04/08/2008
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