Organization
SOUTHERN GRACES
Active
Other names
Patricia's Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE RAE STEARNS RN (OWNER/ OPERATOR)
(573) 223-4689
Entity
Organization
Contact information
Practice address
220 ECKLES ST, PIEDMONT, MO 63957-1012
(573) 223-4689
(573) 223-4689
Mailing address
220 ECKLES ST, PIEDMONT, MO 63957-1012
(573) 223-4689
(573) 223-4689
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
311ZA0620X
MO
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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