Organization
PEACH WOOD MANOR RCF
Active
Other names
Peach Wood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GAIL DACY CMA (CO-OWNER)
(417) 847-3902
Entity
Organization
Contact information
Practice address
HIGHWAY 12, CASSVILLE, MO 65625
(417) 847-3902
(417) 847-0052
Mailing address
HC 81, BOX 8240, CASSVILLE, MO 65625
(417) 847-3902
(417) 847-0052
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/21/2008
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