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Organization

BUNKER RESIDENTIAL HOME DBA

Active
Other names
Reynolds County Executive Board of Developmental Disabilities Services
Organization subpart
No

Provider details

NPI number
Authorized official
JANIS F GORDON (MANAGER)
(573) 689-2213
Entity
Organization

Contact information

Practice address
500 CULLER AVE, BUNKER, MO 63629
(573) 689-1392
(573) 689-1397
Mailing address
PO BOX 276 500 CULLER AVE, BUNKER, MO 63629
(573) 689-2213
(573) 689-2214

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
042886
MO

Other

Enumeration date
02/26/2015
Last updated
10/13/2021
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