Organization
COATES STREET COMFORT HOUSE
Active
Organization
COATES STREET COMFORT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY DUANE BURKE (ADMIN)
(660) 263-6759
Entity
Organization
Contact information
Practice address
612 WEST COATES ST, MOBERLY, MO 65270-1319
(660) 263-6759
(660) 263-0677
Mailing address
612 W COATES ST, MOBERLY, MO 65270-1319
(660) 263-6759
(660) 263-0677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033516
MO
Other
Enumeration date
04/18/2007
Last updated
03/20/2008
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