Organization
POWDERLY AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE MARIE POWDERLY (PRESIDENT)
(636) 938-7044
Entity
Organization
Contact information
Practice address
346 LEWIS BLUFF CIR, EUREKA, MO 63025-1638
(636) 938-7044
(636) 938-3883
Mailing address
346 LEWIS BLUFF CIR, EUREKA, MO 63025-1638
(636) 938-7044
(636) 938-3883
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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