Organization
PALLADIAN SENIOR CARE OF POPLAR BLUFF LLC.
Active
Other names
Oakdale Care Center ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF EDWARD NEWMAN (ADMINISTRATOR)
(573) 686-5242
Entity
Organization
Contact information
Practice address
2711 DEBBIE LN, POPLAR BLUFF, MO 63901-2651
(573) 686-5242
(573) 686-3637
Mailing address
PO BOX 340, 2711 DEBBIE LANE, POPLAR BLUFF, MO 63902-0340
(573) 686-5242
(573) 686-3637
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032301
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266734904
—
MO
Enumeration date
11/17/2006
Last updated
04/18/2018
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