Organization
SCENIC VIEW LLC
Active
Other names
Valley Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CRAWFORD (OWNER)
(573) 631-3552
Entity
Organization
Contact information
Practice address
101 S KNOB ST, IRONTON, MO 63650-1501
(573) 546-3080
Mailing address
4217 SCENIC VIEW DR, FARMINGTON, MO 63640-7846
(583) 631-3552
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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