Organization
CITADEL ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GEORGIA I. EYE (CEO)
(573) 438-3736
Entity
Organization
Contact information
Practice address
217 E CITADEL DR, POTOSI, MO 63664-1937
(573) 438-3736
(573) 436-9200
Mailing address
217 E CITADEL DR, POTOSI, MO 63664-1937
(573) 438-3736
(573) 436-9200
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1799-330
MO
385H00000X
Respite Care
Primary
1799-330
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85140106
—
MO
Enumeration date
03/15/2007
Last updated
09/11/2025
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