Organization
PORTIA'S RCF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA KAYE PRICE RN (OWNER)
(573) 718-0210
Entity
Organization
Contact information
Practice address
307 N BROADWAY ST, POPLAR BLUFF, MO 63901-5103
(573) 686-3446
(573) 686-4425
Mailing address
307 N BROADWAY ST, POPLAR BLUFF, MO 63901-5103
(573) 686-3446
(573) 686-4425
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
043080
MO
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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