Organization
HERITAGE HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCCULLEY (MEMBER)
(573) 866-2003
Entity
Organization
Contact information
Practice address
PO BOX B, PATTON, MO 63662-0010
(573) 866-2003
Mailing address
PO BOX B, PATTON, MO 63662-0010
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
039146
MO
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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