Organization
CROSSTREE HEALTHCARE MINGO LLC
Active
Other names
Mingo Residential Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COLE (MANAGER)
(573) 217-8669
Entity
Organization
Contact information
Practice address
24080 STATE HIGHWAY 51, PUXICO, MO 63960-8114
(573) 217-8669
Mailing address
2061 MAGNOLIA DR, PIGGOTT, AR 72454-3129
(573) 217-8669
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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