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Organization

FULTON RESIDENTIAL, LLC

Active
Other names
Churchill Terrace Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization

Contact information

Practice address
120 N HOSPITAL DR, FULTON, MO 65251-2511
(573) 642-5222
Mailing address
120 N HOSPITAL DR, FULTON, MO 65251-2511

Taxonomy

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

Other

Enumeration date
05/26/2006
Last updated
11/10/2025
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